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1811521172
KELLY BRUCE GIBSON
PARMA, OH
NPI
1811521172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT018276)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
KELLY BRUCE GIBSON DPT
5520 BROADVIEW RD FRNT
PARMA, OH 44134-1606
Phone number: 216-749-6650
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Mailing Address
KELLY BRUCE GIBSON DPT
5000 ROCKSIDE RD STE 500
INDEPENDENCE, OH 44131-2178
Phone number: 216-459-2846
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