Individual
WILLIAM PATRICK GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12325 E GRACE AVE, SPOKANE VALLEY, WA 99216-1151
(509) 924-1830
Mailing address
4802 N ELTON RD, SPOKANE, WA 99212-1708
(509) 951-8416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00003548
WA
225XP0200X
Pediatric Occupational Therapist
OT00003548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8375966
—
WA
Enumeration date
06/29/2007
Last updated
10/10/2012
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