Individual
MS. DIANA LYNN GIBSON-LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
705 S DORT HWY, FLINT, MI 48503-2852
(810) 496-5642
Mailing address
1817 MACKINAW ST, SAGINAW, MI 48602-3031
(989) 790-3277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002605
MI
Other
Enumeration date
06/19/2007
Last updated
08/03/2007
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