NPI 1003389800
Leah Gibson, MSOTRL
Practice location
- Address
- 3600 Fulton St E, Grand Rapids, MI 49546-1322
- Phone
- (616) 949-4971
- Mailing address
- 724 Evelyn St NE, Grand Rapids, MI 49505-4270
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003389800
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jan 2019
- Record last updated
- 9 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.