Individual
MARQUES ALAN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3160 W MAIN ST, DOTHAN, AL 36305-1185
(334) 699-2348
(334) 699-2727
Mailing address
3160 W MAIN ST, DOTHAN, AL 36305-1185
(334) 699-2348
(334) 699-2727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2367
AL
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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