Raymond G Gibson, PTA

NPI #1821297508 in Marianna, Florida

Provider Information

NPI Number: 1821297508
Entity Type: Individual
Name: Raymond G Gibson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 13, 2007
Last Updated: Jul 13, 2007

Practice Location

Address: 4230 LAFAYETTE ST STE C
City: Marianna
State: Florida
ZIP Code: 32446-8231
Phone: (850) 526-1093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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