Individual
RHONDA M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 ANSON ST, SALEM, IN 47167-1982
(812) 883-4681
Mailing address
4212 HOLLY TREE DR, LOUISVILLE, KY 40241-1176
(502) 727-5205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002767A
IN
225200000X
Physical Therapy Assistant
A02042
KY
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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