Gibson, Candice
Gibson, Candice is an individual health care provider with primary practice located at 857 Collier Rd Nw Ste 1 , Atlanta GA 30318-2544. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gibson, Candice can be contacted via phone (404) 419-7760.Contact Information
Primary practice address
857 Collier Rd Nw Ste 1
Atlanta GA 30318-2544
Phone: (404) 419-7760
Fax: (404) 351-3977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA002025 | Georgia |
Profile Details
| NPI number | 1932288602 |
|---|---|
| LBN Legal business name | Gibson, Candice |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 16th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932288602 | NPPES |
| Georgia | Other | PTA002025 | STATE LISC NUMBER |
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