Individual
ELYSSA ANN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1731 DANIEL BOONE LN, BOONVILLE, MO 65233-2864
(660) 537-3908
Mailing address
1731 DANIEL BOONE LN, BOONVILLE, MO 65233-2864
(660) 537-3908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026630
MO
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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