Individual
MR. MICHAEL STEELE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 S MAIN ST, MANSFIELD, TX 76063-3104
(817) 453-8520
Mailing address
203 S MAIN, MANSFIELD, TX 76063
(817) 453-8520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053901
TX
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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