Individual
DR. BENJAMIN TODD GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3117
(706) 494-3337
Mailing address
6262 VETERANS PKWY, PO BOX 9517, COLUMBUS, GA 31909-3540
(706) 494-3117
(706) 494-3337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010655
GA
225100000X
Physical Therapist
PTH6572
AL
Other
Enumeration date
07/23/2012
Last updated
10/04/2012
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