Individual
MADELINE ELIZABETH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1800 2ND LOOP RD STE 12, FLORENCE, SC 29501-6180
(843) 407-5236
(843) 407-5810
Mailing address
4304 BLUE HERON CIR, FLORENCE, SC 29501-8489
(843) 409-4425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7326
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7326
BOARD OF OCCUPATIONAL THERAPY
SC
05
—
TH5894
—
SC
Enumeration date
08/27/2024
Last updated
04/03/2025
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