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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACEY GIBSON

Active Sole Proprietor

TRACEY GIBSON is a Occupational Therapist healthcare provider located in DAFTER, Michigan. NPI 1154704625 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · DAFTER, MI

Registration Details

NPI Number
1154704625
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2015 (11.130698232805 yrs)
Last Updated
Jul 2, 2015
Sole Proprietor
Yes

Practice Information

Address
1029 E 14 MILE RD
DAFTER, MI, 497249563
Browse MI providers · Browse ZIP 49724
Phone
9064406137
Primary Specialty
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.