Individual
ANGELA RENEE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 INTERSTATE DR, SUITE A, MANCHESTER, TN 37355-3190
(931) 723-7156
(931) 723-7159
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2669
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
08/21/2009
Last updated
08/21/2009
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