Individual
ELIZABETH JOSEPHINE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2119 CLIFF RD, EAGAN, MN 55122-2345
(651) 688-7500
(763) 260-7653
Mailing address
5995 OPUS PKWY STE 200, MINNETONKA, MN 55343-9058
(952) 300-3493
(763) 260-7653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11496
MN
Other
Enumeration date
08/08/2019
Last updated
04/01/2021
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