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NPI Code Detail

MEDICARE: LINDA DIGRAZIA GIBBS PT

MEDICARE: LINDA DIGRAZIA GIBBS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501002788MI

General Provider Information

NPI Number : 1538399050
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA DIGRAZIA GIBBS PT
Provider Business Mailing Address
First Line : 10809 S SAGINAW ST
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-7033
Country : US
Telephone Number : 810-695-8700
Fax Number : 810-695-7946
Provider Business Practice Location Address
First Line : 10809 S SAGINAW ST
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-7033
Country : US
Telephone Number : 810-695-8700
Fax Number : 810-695-7946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 07/17/2009

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Directions to “ LINDA DIGRAZIA GIBBS PT” Practice Location

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