Individual
MRS. KELLYN MOORE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6509
Mailing address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2880
AL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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