NPI 1144663089
Jacqueline Gibbons
Practice location
- Address
- 3799 Cape Landing Cir APT C, Myrtle Beach, SC 29588-1123
- Phone
- (845) 313-2012
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1144663089
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Apr 2013
- Record last updated
- 25 Jul 2022
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.