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

EVAN GIBSON, DPT

Active

EVAN GIBSON, DPT is a Physical Therapy Assistant healthcare provider located in MEDFORD, New Jersey. NPI 1669090858 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MEDFORD, NJ

Registration Details

NPI Number
1669090858
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2020 (6.0604771397041 yrs)
Last Updated
Aug 7, 2020
Licenses
PT-6973 (ID)
40QA01933400 (NY)

Practice Information

Address
131 ROUTE 70
MEDFORD, NJ, 080559501
Browse NJ providers · Browse ZIP 08055
Phone
8565330920
Fax
8563751110
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MEDFORD, NJ

Name Credential NPI
MICHELE STRAUSS PT 1790749117
MRS. JODI LYNN GOLDMAN PT 1497799969
DR. CHERYL L. LANDRY PT 1861438905
MARVIN P ROYAL II PT 1841224839
MRS. KIMBERLY D BAKER MPT 1871501890
MS. RHONDA MAUTE MPT 1154339174
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.