LARRY MARLIN GIBSON

ANDERSON, IN
NPI1942590989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004222A)
Enumeration Date2011-04-11
Last Update Date2011-04-11
Business Address
-- LARRY MARLIN GIBSON PTA
1625 HILL ST
ANDERSON, IN 46012-2425
Phone number: 765-644-1860
Mailing Address
-- LARRY MARLIN GIBSON PTA
1625 HILL ST
ANDERSON, IN 46012-2425
Phone number: 765-644-1860
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