Individual
SAUNDRA J LIGHT GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14221 REDDINGTON AVENUE, MAPLE HEIGHTS, OH 44137
(216) 659-1098
Mailing address
PO BOX 221048, BEACHWOOD, OH 44122-0993
(216) 659-1098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 004990
OH
225XG0600X
Gerontology Occupational Therapist
OT 004990
OH
Other
Enumeration date
09/18/2008
Last updated
08/07/2020
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