Individual
PAIGE GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1317 E REPUBLIC RD STE A, SPRINGFIELD, MO 65804-7237
(417) 881-9333
(417) 881-9334
Mailing address
1317 E REPUBLIC RD STE A, SPRINGFIELD, MO 65804-7237
(417) 881-9333
(417) 881-9334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018021490
MO
Other
Enumeration date
06/20/2018
Last updated
10/12/2018
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