Individual
COLIN DAVID MCGIBBONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3733
(337) 442-6505
Mailing address
103 KENSINGTON DR, LAFAYETTE, LA 70508-7117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10552
LA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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