Individual
MRS. AMANDA (AMY) GIBBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
924 LOTUS LN S, SAINT JOHNS, FL 32259-4425
(904) 429-2001
Mailing address
924 LOTUS LN S, SAINT JOHNS, FL 32259-4425
(904) 429-2001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31288
FL
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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