Individual
JENNIFER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720
(330) 498-8239
Mailing address
6888 TALLMADGE RD, ROOTSTOWN, OH 44272-9723
(330) 808-3536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 3268
OH
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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