Individual
MATTHEW I GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 VILLAGE PARK DR, ORANGEBURG, SC 29118-2401
(803) 534-2022
Mailing address
2006 CHESTER AVE, WELLSVILLE, OH 43968-1031
(330) 383-6256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.9197
SC
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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