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Individual
MADELINE ELIZABETH GIBSON
Active
Individual
MADELINE ELIZABETH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7326
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7326
BOARD OF OCCUPATIONAL THERAPY
SC
05
—
TH5894
—
SC
Enumeration date
08/27/2024
Last updated
04/03/2025
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