JILL SUSANNE GIBSON

SANTA ANA, CA
NPI1477672095
Former NameJILL SUSANNE GIBSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT36639)
Additional Taxonomies225100000X Physical Therapist
(Licence: NC  P14505)
Enumeration Date2007-03-28
Last Update Date2014-06-24
Business Address
Mrs. JILL SUSANNE GIBSON P.T.
1570 E 17TH ST
SANTA ANA, CA 92705-8502
Phone number: 714-834-1111
Mailing Address
Mrs. JILL SUSANNE GIBSON P.T.
6674 CORTE EDUARDO
CARLSBAD, CA 92009-4566
Phone number: 805-931-4435