Paul T. Gibson
Rehabilitation Practitioner in Pasadena, CA. Individual provider (NPI-1).
NPI number1932230331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1932230331
- Entity type
- Individual (NPI-1)
- Name
- Paul T. Gibson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
851 N Oakland AvePasadena, CA 91104-4343
Phone 626-831-5529
Mailing address
3579 E Foothill Blvd # 707Pasadena, CA 91107-3119
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