Ryan Gibson

NPI #1649931858 in Ardmore, Oklahoma

Provider Information

NPI Number: 1649931858
Entity Type: Individual
Name: Ryan Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 10, 2022
Last Updated: Jan 10, 2022

Practice Location

Address: 1107 W BROADWAY ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2833
Phone: (580) 226-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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