Individual
MEGAN KIM GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12400 PORTLAND AVE, SUITE 140, BURNSVILLE, MN 55337-6868
(952) 898-5700
Mailing address
17105 FRANCHISE WAY, FARMINGTON, MN 55024-8065
(507) 430-6136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104462
MN
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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