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Individual
MRS. TERI LEA GIBBONS
Active
Individual
MRS. TERI LEA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5001006630
MI
225100000X
Physical Therapist
5501006630
MI
Other
Enumeration date
11/15/2006
Last updated
07/24/2018
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