Individual
AMY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
12311 ASHLEY DR STE A, GULFPORT, MS 39503-2950
(228) 357-5253
(662) 349-8757
Mailing address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
(662) 349-8757
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2607
MS
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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