Individual
ELIZABETH HOLDEN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 261-3875
Mailing address
430 LUTHER LN, WESTMINSTER, SC 29693-4921
(864) 903-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
763
SC
Other
Enumeration date
11/13/2011
Last updated
02/13/2012
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