Individual
MISS JODIE MARIE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1346 N BOSWORTH AVE, UNIT 3, CHICAGO, IL 60642-2393
(573) 837-2289
Mailing address
1346 N BOSWORTH AVE, UNIT 3, CHICAGO, IL 60642-2393
(573) 837-2289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009860
IL
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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