NPI 1962106443
Courtney Deshawn Williams Gibson, CTRS
Practice location
- Address
- 6060 Winchester Ave Trlr 82, Baton Rouge, LA 70805-1870
- Phone
- (225) 346-2418
Registered specialties
Recreation Therapist
Primary
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.