Individual
HAZEL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 AIRPORT RD STE 101, BLUEFIELD, WV 24701-7388
(304) 325-0066
(304) 325-0077
Mailing address
545 AIRPORT RD STE 101, BLUEFIELD, WV 24701-7388
(304) 325-0066
(304) 325-0077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2182
WV
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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