Individual
MRS. LAURA JUNE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
509 GROVE ST, WAKEFIELD, KS 67487-9159
(785) 461-5417
Mailing address
101 1ST INDUSTRY ST, ABILENE, KS 67410-6083
(785) 388-2137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00547
KS
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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