Individual
KRISTEN N GIBBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 RIPA AVE, SAINT LOUIS, MO 63125-2378
(314) 544-1111
Mailing address
4684 LAND RUSH DR, HOUSE SPRINGS, MO 63051-2591
(314) 398-1476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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