Garrett Gibson, PTA

NPI #1306364880 in Fredonia, New York

Provider Information

NPI Number: 1306364880
Entity Type: Individual
Name: Garrett Gibson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 5, 2017
Last Updated: Jan 13, 2020

Practice Location

Address: 9520 FREDONIA STOCKTON RD
City: Fredonia
State: New York
ZIP Code: 14063-9518
Phone: (716) 672-4371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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