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Individual

MRS. CAROLYN S. GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPTA

Contact information

Practice address
2040 LARCHMONT WAY, CLEARWATER, FL 33764-6720
(727) 504-2797
(727) 216-9507
Mailing address
2040 LARCHMONT WAY, CLEARWATER, FL 33764-6720
(727) 504-2797
(727) 216-9507

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA017278
FL

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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