Individual
MATTHEW GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
3372 ROBINWOOD RD, GASTONIA, NC 28054-6689
(704) 867-8900
Mailing address
1610 STONE PINE DR, GASTONIA, NC 28056-8575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0310
NC
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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