Individual
JEFFREY BENJAMIN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 768-4400
Mailing address
1051 MADISON AVE, HUNTINGTON, WV 25704-2537
(603) 913-4184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002267
WV
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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