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

MR. BONNIE KYGER GIBSON, COTA

Active Sole Proprietor

MR. BONNIE KYGER GIBSON, COTA is a Occupational Therapy Assistant healthcare provider located in PORT REPUBLIC, Virginia. NPI 1467755843 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PORT REPUBLIC, VA

Registration Details

NPI Number
1467755843
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2010 (15.688539021465 yrs)
Last Updated
Dec 7, 2010
License
0131000188 (VA)
Sole Proprietor
Yes

Practice Information

Address
8042 PORT REPUBLIC RD
PORT REPUBLIC, VA, 244712652
Browse VA providers · Browse ZIP 24471
Phone
5402498109
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.