Individual
BRYAN J. GIBBY
Active
Individual
BRYAN J. GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, CWS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
292356-2401
UT
225100000X
Physical Therapist
Primary
PT-1780
ID
Other
Enumeration date
04/30/2009
Last updated
04/28/2013
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