Individual
MR. MATTHEW JERRID GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
190 CANE HEDGE RD, IRONDALE, AL 35210-3524
(662) 571-0093
Mailing address
190 CANE HEDGE RD, IRONDALE, AL 35210-3524
(662) 571-0093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2117001
TX
225200000X
Physical Therapy Assistant
Primary
5561
MS
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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