Individual
TIFFANY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7445 ALLEN RD STE 102, ALLEN PARK, MI 48101-1992
(313) 389-5600
Mailing address
7445 ALLEN RD STE 102, ALLEN PARK, MI 48101-1992
(313) 389-5600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000115
MI
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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