| NPI | 1407338726 |
|---|---|
| Former Name | KRISTIN GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP021463T) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-10-30 |