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Individual

ANDREA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
115 S SAINT JOHNS DR, CAMP HILL, PA 17011-4147
(717) 761-4754
Mailing address
5621 RIVER RD, HARRISBURG, PA 17110-1723
(717) 433-0768

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC016567
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC016567
PA

Other

Enumeration date
09/07/2019
Last updated
03/11/2020
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