Individual
GAVIN GIGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
547 E SAVANNAH ST, VAIL, AZ 85641-2342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5226
AZ
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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