NPI 1063643294

Pamela J Gibson, CLPO

Practitioner Prosthetist Galveston, TX

Practice location

Address: 625 University Blvd, Galveston, TX 77550-5505
Phone: (409) 736-8250
Fax: (406) 763-6863

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1066 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1066 (TX)

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Registry record

NPI: 1063643294
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2009
Record last updated: 5 Aug 2009

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.