Individual
BETTY A. GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMMT
Contact information
Practice address
1 ALLAN CT, MOUNTAIN TOP, PA 18707-1263
(570) 474-9522
(570) 474-9522
Mailing address
1 ALLAN CT, MOUNTAIN TOP, PA 18707-1263
(570) 474-9522
(570) 474-9522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
000398
PA
Other
Enumeration date
05/07/2007
Last updated
02/15/2011
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