Individual
DONNA L GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1806 POMFRET ROAD, SOUTH POMFRET, VT 05067-0172
(802) 457-2124
Mailing address
1806 POMFRET ROAD, SOUTH POMFRET, VT 05067-0172
(802) 457-2124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0350
NH
225100000X
Physical Therapist
Primary
040.0000917
VT
225100000X
Physical Therapist
11950
MA
225100000X
Physical Therapist
PT 15606
CA
225100000X
Physical Therapist
PT2045
ME
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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