Individual
GINA GIBSON-SMILTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4227 MARY RIDGE DR, RANDALLSTOWN, MD 21133-4318
(443) 204-3498
Mailing address
4227 MARY RIDGE DR, RANDALLSTOWN, MD 21133-4318
(443) 204-3498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1369
MD
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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