Individual
MS. HEATHER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2595 LAFRANIER RD., TRAVERSE CITY, MI 49686
(231) 947-9511
Mailing address
2595 LAFRANIER RD., TRAVERSE CITY, MI 49686
(231) 947-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23270
CA
225100000X
Physical Therapist
Primary
5501012557
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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