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Individual

JENNIFER GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4175 ROUTE 71, OSWEGO, IL 60543-8340
(812) 727-8186
Mailing address
1709 GENTRY SQUARE LN APT 103, CHAMPAIGN, IL 61821-5976
(217) 721-6216

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012592
IL
225X00000X
Occupational Therapist
610005477
WA

Other

Enumeration date
10/01/2021
Last updated
07/11/2025
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