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Rashanda Gay, COTA-L

Occupational Therapy Assistant in Aledo, IL. Individual provider (NPI-1).

NPI number1164096202
StatusActive
Last updated in NPPESOct 28, 2022

Details

NPI
1164096202
Entity type
Individual (NPI-1)
Name
Rashanda Gay
Credential
COTA-L
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2021
Certification date
May 13, 2021
Last updated
Oct 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057005465ILYes

Practice location

304 Sw 12th St
Aledo, IL 61231-2707

Phone 309-582-5376

Mailing address

304 Sw 12th Street
Aledo, IL

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