Individual
GIBSON P. GELLADUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8422 BROMPTON PLACE DR, HOUSTON, TX 77083-5223
(832) 466-8686
Mailing address
8422 BROMPTON PLACE DR, HOUSTON, TX 77083-5223
(832) 466-8686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111611
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
11/06/2009
Last updated
11/10/2009
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