Individual
HEATH SCOTT GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 636-7174
Mailing address
2111 RIVERWALK DR, MOORE, OK 73160-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4479
OK
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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