Individual
MS. CANDACE JASMINE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10021-4870
(212) 746-1063
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-1550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62027914
NY
Other
Enumeration date
04/24/2007
Last updated
05/11/2015
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