Individual
MS. LUANNE BETH GIBBONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4750 WESLEY AVE, CINCINNATI, OH 45212-2244
(513) 458-8858
Mailing address
5155 RACE RD, CINCINNATI, OH 45247-7901
(513) 560-0269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00309
OH
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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