Taylor Gibson

NPI #1194324517 in Rockford, Illinois

Provider Information

NPI Number: 1194324517
Entity Type: Individual
Name: Taylor Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 19, 2020
Last Updated: Oct 21, 2020

Practice Location

Address: 501 7TH ST
City: Rockford
State: Illinois
ZIP Code: 61104-1242
Phone: (815) 966-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Speech-Language Pathologist	235Z00000X

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