Individual
MS. KATHY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 W GLORIA SWITCH RD, CARENCRO, LA 70520-6455
(337) 849-6296
Mailing address
PO BOX 940, CARENCRO, LA 70520-0940
(337) 849-6296
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.Z20160
LA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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