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Individual
JENNIE GIBSON
Active
Individual
JENNIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CSRS, CNS
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4698
AL
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OTH-008529
AZ
225XN1300X
Neurorehabilitation Occupational Therapist
—
NULL
Other
Enumeration date
05/09/2022
Last updated
11/20/2024
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