Jeanette Gibson

NPI #1295795623 in Manchester, Missouri

Provider Information

NPI Number: 1295795623
Entity Type: Individual
Name: Jeanette Gibson
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Enumeration Date: Mar 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 13537 BARRETT PARKWAY DR
Address 2: STE 205
City: Manchester
State: Missouri
ZIP Code: 63021-5899
Phone: (314) 966-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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