SearchIllinois225X00000X

Jered Gambill, MSOTR/L

NPI 1497044861 · on the registry since 2011 · sole proprietor

Practice

Address
108 N 3rd St
Mount Vernon, IL 62864
Phone
(618) 244-1302
Fax
(618) 244-1302

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-04-06

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