Individual
CELESTE VALERIE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
45900 GEDDES RD, CANTON, MI 48188-2306
(734) 879-4223
Mailing address
13115 LAKE POINT BLVD, BELLEVILLE, MI 48111-2238
(734) 485-1886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005658
MI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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