Individual
JOSHUA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
(386) 944-7202
Mailing address
619A RIES AVE, NASHVILLE, TN 37209-1224
(888) 265-2680
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6240
NC
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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