MIRANDA GIBSON

MACON, GA
NPI1841745049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT006534)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001564)
Enumeration Date2016-08-18
Last Update Date2020-08-18
Business Address
MIRANDA GIBSON OT
1014 FORSYTH ST
MACON, GA 31201-2051
Phone number: 478-633-8100
Mailing Address
MIRANDA GIBSON OT
1014 FORSYTH ST
MACON, GA 31201-2051
Phone number: 478-633-8100