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1982954038
TARA C GIBSON
OLD GREENWICH, CT
NPI
1982954038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 034115)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- TARA C GIBSON DPT
1445 E PUTNAM AVE 2ND FLOOR
OLD GREENWICH, CT 06870-1379
Phone number: 203-983-5748
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Mailing Address
-- TARA C GIBSON DPT
126 HOLLOW WOOD LN
GREENWICH, CT 06831-5019
Phone number: 917-804-1020
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