| Doctor Name: | MRS. JENNIFER BOOKER GIBBONS |
| NPI Number: | 1205262615 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | |
| Business Practice Address: | 1115 Boulders Pkwy Suite 100a North Chesterfield, VA - 232254067 |
| Business Phone Number: | 8043308165 |
| Business Fax Number: | 8043305829 |
| Mailing Address: | 1115 Boulders Pkwy, Suite 200 NORTH CHESTERFIELD |
| State: | VA |
| Postal Code: | 232254067 |
| Phone Number: | 8045605595 |
| Fax Number: | 8045609029 |
| NPI Enumeration Date: | 09/17/2013 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |