Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA TRACI GIBSON, PT
ActiveTARA TRACI GIBSON, PT is a Neurology (Occupational Therapy) healthcare provider located in LAKE MARY, Florida. NPI 1871009225 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · LAKE MARY, FL
Registration Details
- NPI Number
- 1871009225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2017 (8.6726568610294 yrs)
- Last Updated
- Feb 9, 2024
- License
-
PT38351 (FL)
Practice Information
- Address
-
100 WAYMONT CT STE 120LAKE MARY, FL, 327463412Browse FL providers · Browse ZIP 32746
- Phone
- 5027592444
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
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.