Gibson, Mitzi A

Gibson, Mitzi A is an individual health care provider with primary practice located at 10014 N Rodney Parham Rd Suite 100, Little Rock AR 72227-5548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gibson, Mitzi A can be contacted via phone (501) 224-5454.

Contact Information

Primary practice address
10014 N Rodney Parham Rd Suite 100 Little Rock AR 72227-5548
Phone: (501) 224-5454
Fax: (501) 224-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1755 Arkansas

Profile Details

NPI number 1144265190
LBN Legal business name Gibson, Mitzi A
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 14th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144265190 NPPES
Arkansas MEDICAID 143565721
Arkansas Other P00412703
Arkansas Other 5T563

Popular Providers