Individual
PINKIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Mailing address
719 OLD WHISKEY RD N, NEW ELLENTON, SC 29809-2602
(803) 652-3829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1619
SC
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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