Individual
MARY YVETTE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 BOUSH ST, ROPER, NC 27970
(252) 793-3180
Mailing address
1719 QUARTER RD, SWANQUARTER, NC 27885-9616
(252) 926-2143
(252) 926-2414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3689
NC
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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