Individual
TONYA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 GRACIE ST, EDEN, NC 27288-3607
(877) 781-9565
Mailing address
215 GRACIE ST, EDEN, NC 27288-3607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
07/21/2014
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