Individual
GINGER GIBSON
Active
Individual
GINGER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016321
IL
225100000X
Physical Therapist
Primary
PT011193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF IL
1619980
IL
01
—
CD3789
MEDICARE RAIL ROAD GROUP
IL
01
—
P00624021
MEDICARE RAIL ROAD
IL
Enumeration date
06/08/2006
Last updated
02/07/2020
Update your record
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