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Rebbecca Gwaltney, COTA/L

NPI 1235499120 · on the registry since 2012 · sole proprietor

Practice

Address
2352 State Highway 78 N
Jacksonville, IL 62650
Phone
(217) 473-5913

Registry record

Primary taxonomy
247200000X
247200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois