Gibson, Amanda Lee

Gibson, Amanda Lee is an individual health care provider with primary practice located at 1606 Hunt Dr , Normal IL 61761-2192. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Gibson, Amanda Lee can be contacted via phone (309) 451-0069.

Contact Information

Primary practice address
1606 Hunt Dr Normal IL 61761-2192
Phone: (309) 451-0069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056006623 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056006623 Illinois

Profile Details

NPI number 1336204932
LBN Legal business name Gibson, Amanda Lee
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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