Individual
MRS. TABITHA J GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3697 LIMA DR, WESTERVILLE, OH 43081-4113
(614) 327-8523
Mailing address
3697 LIMA DR, WESTERVILLE, OH 43081-4113
(614) 327-8523
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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