Jacqueline Gibbons

NPI #1144663089 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1144663089
Entity Type: Individual
Name: Jacqueline Gibbons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 10, 2013
Last Updated: Jul 25, 2022

Practice Location

Address: 3799 CAPE LANDING CIR APT C
City: Myrtle Beach
State: South Carolina
ZIP Code: 29588-1123
Phone: (845) 313-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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