NPI 1720304116

Jennifer Sue Gottlob, COTAL

Practitioner Occupational Therapist Godfrey, IL

Practice location

Address: 1358 Dadrian Professional Park, Godfrey, IL 62035-1685
Phone: (618) 468-8010

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 057-001740 (IL)

Other Occupational Therapist providers in Illinois →

Registry record

NPI: 1720304116
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2010
Record last updated: 11 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.