Individual
KOSKIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 AMICKS FERRY RD STE G, CHAPIN, SC 29036-9400
(803) 932-2176
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2672
SC
Other
Enumeration date
08/01/2006
Last updated
10/31/2024
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