| Doctor Name: | MRS. JILL SUSANNE GIBSON |
| NPI Number: | 1477672095 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | P14505 |
| Business Practice Address: | 1570 E 17th St Santa Ana, CA - 927058502 |
| Business Phone Number: | 7148341111 |
| Business Fax Number: | 7149720454 |
| Mailing Address: | 6674 Corte Eduardo, CARLSBAD |
| State: | CA |
| Postal Code: | 920094566 |
| Phone Number: | 8059314435 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 06/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | P14505 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |