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

MRS. JILL SUSANNE GIBSON, P.T.

Active

MRS. JILL SUSANNE GIBSON, P.T. is a Physical Therapy Assistant healthcare provider located in SANTA ANA, California. NPI 1477672095 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SANTA ANA, CA

Registration Details

NPI Number
1477672095
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2007 (19.395542911312 yrs)
Last Updated
Jun 24, 2014
Licenses
PT36639 (CA)
P14505 (NC)

Practice Information

Address
1570 E 17TH ST
SANTA ANA, CA, 927058502
Browse CA providers · Browse ZIP 92705
Phone
7148341111
Fax
7149720454
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SANTA ANA, CA

Name Credential NPI
LISA ANNE WHITTEN PT 1407831639
CARMEN MARISSA CORDES PT 1295710382
MARK WINSTON NOLTE PT 1265417109
MRS. JULIA CELANI P.T. 1659349165
ANUPAMA MINIR WORAH PT 1568425155
MELISSA MATTA PT 1184687410
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.