Individual
JORDAN THOMAS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
6 GARDEN CENTER DR, GREENSBURG, PA 15601-1351
(814) 421-4805
Mailing address
6 GARDEN CENTER DR, GREENSBURG, PA 15601-1351
(814) 421-4805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015766
PA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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