Individual
GRACE MERRILL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3540 DULUTH PARK LN, STE 100, DULUTH, GA 30096-6674
(770) 497-4228
(770) 497-4474
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005253
GA
Other
Enumeration date
04/03/2007
Last updated
12/30/2016
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