Individual
RESA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9445 ZACHARY TAYLOR HWY, UNIONVILLE, VA 22567-2126
(540) 854-0367
Mailing address
312 LASALLE AVE, HAMPTON, VA 23661-1631
(757) 477-0117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305002694
VA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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