Individual
JORDAN ALEECE GEHRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
117 S I ST, MONMOUTH, IL 61462-1544
(309) 734-3811
Mailing address
1497 N TOWN AVE, PRINCEVILLE, IL 61559-9782
(309) 863-0601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057006017
IL
Other
Enumeration date
06/07/2023
Last updated
08/06/2023
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