Gibson, Traci Lynn

Gibson, Traci Lynn is an sole proprietor health care provider with primary practice located at 1182 Scarlet Quarry Cir , Avon IN 46123-9372. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Gibson, Traci Lynn can be contacted via phone (317) 919-1122.

Contact Information

Primary practice address
1182 Scarlet Quarry Cir Avon IN 46123-9372
Phone: (317) 919-1122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1548621659
LBN Legal business name Gibson, Traci Lynn
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2016
Last updated Mar 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.

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