Individual
ASHLEY NICHOLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
335 HOOHANA ST STE F, KAHULUI, HI 96732-3527
(808) 446-2032
Mailing address
28 MANO DR, KULA, HI 96790-8526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2384
HI
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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