Doctor Name: | MR. PHILLIP GREGORY GIBSON |
NPI Number: | 1073726139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 06982PT |
Business Practice Address: | 840 Hartnell Ave Redding, CA - 960022118 |
Business Phone Number: | 5302216584 |
Business Fax Number: | 5302218926 |
Mailing Address: | Po Box 990955, REDDING |
State: | CA |
Postal Code: | 960990955 |
Phone Number: | 5302432164 |
Fax Number: | 5302439446 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 06982PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |