Individual
BRUCE GRAHAM GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 N CENTRAL EXPY, PLANO, TX 75074-1009
(972) 578-2212
Mailing address
1300 N CENTRAL EXPY, PLANO, TX 75074-1009
(972) 578-2212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1320858
TX
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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