Doctor Name: | DOUGLAS S GIBSON |
NPI Number: | 1912987793 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | 6314 |
Business Practice Address: | 2808 Mclamb Pl Goldsboro, NC - 275341600 |
Business Phone Number: | 9197362157 |
Business Fax Number: | 9195800424 |
Mailing Address: | 2808 Mclamb Pl, GOLDSBORO |
State: | NC |
Postal Code: | 275341600 |
Phone Number: | 9197362157 |
Fax Number: | 9195800424 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |