Gabe E Mckibben

NPI #1841951142 in Mattoon, Illinois

Provider Information

NPI Number: 1841951142
Entity Type: Individual
Name: Gabe E Mckibben
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 7, 2022
Last Updated: Jan 7, 2022

Practice Location

Address: 2904 WALNUT AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-4942
Phone: (217) 254-5118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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