Individual
MS. SARAH LAVERNE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
6505 PACIFIC AVE, FAYETTEVILLE, NC 28314-6551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2572
NC
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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