Individual
CASEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2830 I ST NE, AUBURN, WA 98002-2410
(253) 561-8100
Mailing address
524 SW 294TH ST, FEDERAL WAY, WA 98023-3540
(206) 999-8110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00001305
WA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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