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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AMANDA LEE GIBSON, OTRL

Active

MRS. AMANDA LEE GIBSON, OTRL is a Pediatric Occupational Therapist healthcare provider located in NORMAL, Illinois. NPI 1336204932 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · NORMAL, IL

Registration Details

NPI Number
1336204932
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2006 (19.591836545243 yrs)
Last Updated
Oct 17, 2011
Licenses
056006623 (IL)
056006623 (IL)

Practice Information

Address
1606 HUNT DR
NORMAL, IL, 617612192
Browse IL providers · Browse ZIP 61761
Phone
3094510069
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in NORMAL, IL

Name Credential NPI
REBECCA L GOLLADAY OTR-L 1720284151
SARAH ELIZABETH WRIGHT MS, OTR/L 1205239050
SARA BURGE MS, OTR/L 1508336231
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.