Individual
LISA JOYCE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
783 ROUTE 3A, BOW, NH 03304-4045
(603) 228-7711
(603) 228-7701
Mailing address
783 ROUTE 3A, BOW, NH 03304-4045
(603) 228-7711
(603) 228-7701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3049M
NH
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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