Individual
JOHN ALLEN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1552 BEAL RD, MANSFIELD, OH 44903-9169
(419) 566-0687
Mailing address
1552 BEAL RD, MANSFIELD, OH 44903-9169
(419) 566-0687
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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