| NPI | 1477854875 |
|---|---|
| Former Name | ANASTASSIA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01579400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021946) |
| 225100000X Physical Therapist (Licence: FL 25997) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-01-14 |