Whalio Doctors

NPI 1962106443

Courtney Deshawn Williams Gibson, CTRS

Practitioner Recreation Therapist Baton Rouge, LA

Practice location

Address
6060 Winchester Ave Trlr 82, Baton Rouge, LA 70805-1870
Phone
(225) 346-2418

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 83416 (LA)

Registry record

NPI
1962106443
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Mar 2023
Record last updated
28 Mar 2023

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.