Individual
JESSICA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
28 PEACH TREE LN, BERLIN, CT 06037-2260
(203) 312-3939
Mailing address
28 PEACH TREE LN, BERLIN, CT 06037-2260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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