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Contact Information

TARA T GIBSON, PT
100 WAYMONT CT STE 120
LAKE MARY, FL32746-3412
 Phone: 502-759-2444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TARA T GIBSON · (Female)

NPI Number 1871009225
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/21/2017
Last updated 02/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT38351
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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