Individual
TARA C GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1445 E PUTNAM AVE, 2ND FLOOR, OLD GREENWICH, CT 06870-1379
(203) 983-5748
Mailing address
126 HOLLOW WOOD LN, GREENWICH, CT 06831-5019
(917) 804-1020
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
034115
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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