Individual
MANDY N/A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NEWFIELD LN, SPRINGTOWN, TX 76082-5458
(571) 340-6436
Mailing address
250 NEWFIELD LN, SPRINGTOWN, TX 76082-5458
(571) 340-6436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159403
TX
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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