ANGIE GIBBENS

MILWAUKIE, OR
NPI1932257391
Former NameANGIE HART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA107)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mrs. ANGIE GIBBENS COJAIL
4560 SE INTERNATIONAL WAY #100
MILWAUKIE, OR 97222
Phone number: 970-206-5129
Mailing Address
Mrs. ANGIE GIBBENS COJAIL
10950 ONEIDA
BOISE, ID 83709
Phone number: 208-362-2490