Individual
EMILY GIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MA
Contact information
Practice address
10 DODGE ST, MALDEN, MA 02148-3210
(978) 518-0641
Mailing address
10 DODGE ST, MALDEN, MA 02148-3210
(978) 518-0641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2732
MA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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