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Contact Information

KELSEY L GIBSON, OT/L
4685 CHUMUCKLA HWY
PACE, FL32571-1007
 Phone: 850-736-8412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELSEY L GIBSON · (Female)

NPI # 1841936911
Status Active
Credentials OT/L
Entity Individual
Enumeration date 05/10/2022
Last updated 05/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • License # OT19341
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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