Individual
CYNTHIA ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
928 OLD SMITHVILLE RD, MC MINNVILLE, TN 37110-6805
(931) 473-8431
Mailing address
143 HOWARD WOODY DR, LA VERGNE, TN 37086-5268
(615) 793-6039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1743
TN
Other
Enumeration date
07/28/2008
Last updated
07/29/2008
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