Individual
LEAH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
3600 FULTON ST E, GRAND RAPIDS, MI 49546-1322
(616) 949-4971
Mailing address
724 EVELYN ST NE, GRAND RAPIDS, MI 49505-4270
(989) 239-4934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008330
MI
Other
Enumeration date
01/04/2019
Last updated
11/09/2020
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