Individual
MRS. DONNA MARIE MANGUM GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7700 CHERRY LN, LAUREL, MD 20707-3603
(301) 776-6777
Mailing address
107 GREEN VALLEY RD, ARNOLD, MD 21012-2241
(443) 883-5641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16560
MD
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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