Libby S Gibson in Fayetteville - Pediatrics

Libby S Gibson - NPI 1336258573

Libby S Gibson is a Pediatrics in Fayetteville, Arkansas. Libby S Gibson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Libby S Gibson is 1336258573. The last update date is 2007-07-08.

Libby S Gibson's current location address is 2793 Raintree Dr, Fayetteville, Arkansas. You can contact this provider via phone number 4799739686 and fax number 4795822746. The mailing address for Libby S Gibson is 2793 Raintree Dr, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Libby S Gibson
Address 2793 Raintree Dr, Fayetteville, Arkansas
Phone Number 4799739686
Fax Number 4795822746
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1336258573
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2793 Raintree Dr
City Fayetteville
State Arkansas (AR)
Post Code 727036288
Phone Number 4799739686
Fax Number 4795822746

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No OTR554
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5X277 AR BCBS

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FAQs about Libby S Gibson

What is the unique identification code assigned to Libby S Gibson by the Centers for Medicare & Medicaid Services?

The Libby S Gibson has been issued the NPI (National Provider Identifier) 1336258573. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Libby S Gibson is physically located?

The Libby S Gibson is physically situated at the following address: 2793 Raintree Dr, Fayetteville, AR, 727036288.

What is the Libby S Gibson's specialty and taxonomy code?

The Libby S Gibson's specialty is Pediatrics, and the corresponding taxonomy code is 225Xp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336258573 to Libby S Gibson?

The Centers for Medicare & Medicaid Services originally issued the 1336258573 to Libby S Gibson on 2006-08-30.

As of what date were the details related to Libby S Gibson most recently updated or revised?

The information pertaining to Libby S Gibson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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