Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XE0001X | Environmental Modification | OT004504 | OH |
N | 2251H1300X | Human Factors | OT004504 | OH |
N | 225XH1300X | Human Factors | OT004504 | OH |
N | 225XL0004X | Low Vision | OT004504 | OH |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT004504 | OH |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT004504 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT004504 | OH |
NPI | 1508317355 |
---|---|
Provider Name | Frances Gibson |
First Address | Fairfield, OH 45014-4779 |
Second Address | Fairfield, OH 45014-4779 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2016 |
Last Update Date | 17/10/2016 |