Individual
JENNIFER GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 CENTER RD, BRUNSWICK, OH 44212-3619
(440) 391-1142
Mailing address
363 AUTUMN RESERVE PKWY, BRUNSWICK, OH 44212-7030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016283
OH
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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