Individual
ELIZABETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 EPPES ST, HOPEWELL, VA 23860-2717
(804) 452-3102
Mailing address
4540 CATTAIL RD, CHARLES CITY, VA 23030-2503
(804) 452-3102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001023
VA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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