Individual
ANDREW GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2222 E HIGHLAND AVE, 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Mailing address
1225 W 21ST AVE, APACHE JUNCTION, AZ 85120-7403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10489
LICENSE
AZ
Enumeration date
02/20/2015
Last updated
02/20/2015
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