Individual
JOANNE I GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1111 W NORTH 12 ST, SHELBYVILLE, IL 62565
(217) 246-0346
Mailing address
232 N CALHOUN ST, SULLIVAN, IL 61951-1608
(217) 246-0346
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004337
IL
Other
Enumeration date
07/30/2021
Last updated
03/23/2026
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