Individual
MEREDITH L GIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 S GULLEY RD STE F, DEARBORN, MI 48124
(734) 407-2500
(313) 792-8962
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(734) 407-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009906
MI
Other
Enumeration date
01/17/2018
Last updated
06/12/2018
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