Individual
KELSEY LEE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
4685 CHUMUCKLA HWY, PACE, FL 32571-1007
(850) 736-8412
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT19341
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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