Simon Gibson

NPI #1497099451 in Oakland, California

Provider Information

NPI Number: 1497099451
Entity Type: Organization
Organization Name: Simon Gibson
Primary Specialty: Physical Therapist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 473 34TH ST
City: Oakland
State: California
ZIP Code: 94609-2815
Phone: (510) 339-2116

Authorized Official

Name: SIMON GIBSON, P.T.
Title: OWNER
Phone: (510) 339-2116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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