Doctor Name: | ANDREW GIBSON |
NPI Number: | 1114319670 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 10489 |
Business Practice Address: | 2222 E Highland Ave 300 Phoenix, AZ - 850164872 |
Business Phone Number: | 6022776211 |
Business Fax Number: | 8662425309 |
Mailing Address: | 1225 W 21st Ave, APACHE JUNCTION |
State: | AZ |
Postal Code: | 851207403 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/20/2015 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |