Individual
MARK P GIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
114 W MAIN ST, NEWMANSTOWN, PA 17073-9077
(610) 589-4910
Mailing address
114 W MAIN ST, NEWMANSTOWN, PA 17073-9077
(610) 589-4910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI 000135
PA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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