Individual
BONNIE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 347-0777
Mailing address
631 ELMEER AVE, METAIRIE, LA 70005-2717
(225) 721-2175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
331574
LA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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