Individual
AMY LEIGH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12211 KAIN RD, GLEN ALLEN, VA 23059-5720
(804) 519-8751
Mailing address
7717 CLAREY LN, MECHANICSVILLE, VA 23116-6707
(804) 513-7458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006206
VA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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