Individual
KAYLA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7281 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1592
(818) 299-1555
Mailing address
5126 BRUNSWICK DR, FONTANA, CA 92336-0663
(818) 299-1555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3461
NV
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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