Individual
JORDAN N GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
133 MARKET CENTER WAY STE 2, DALEVILLE, VA 24083-3284
(540) 242-3017
(540) 492-4058
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211906
VA
Other
Enumeration date
05/23/2018
Last updated
12/29/2025
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