Individual
BERNELLA J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3500 MEEKINS DRIVE, FREDERICKSBURG, VA 22407
(540) 786-1789
(540) 786-1792
Mailing address
3500 MEEKINS DRIVE, FREDERICKSBURG, VA 22407
(540) 786-1789
(540) 786-1792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000693
VA
Other
Enumeration date
02/28/2007
Last updated
09/06/2012
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