Individual
COLLEEN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1888 S PINELLAS AVE, UNIT A, TARPON SPRINGS, FL 34689-1925
(727) 934-6791
Mailing address
8116 CHADWICK DR, NEW PORT RICHEY, FL 34654-6035
(727) 415-6107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20644
FL
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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