Individual
ALLYSEN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1785 LEXINGTON COMMONS DR, ROCK HILL, SC 29732-3528
(803) 207-8000
Mailing address
15704 WEEPING VALLEY DR, PINEVILLE, NC 28134-6455
(704) 576-6933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4713
SC
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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