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MR. THMOAS GIBBONS M.A. CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1447292651

Individual Registrant:
MR. THMOAS  GIBBONS M.A. CCC/SLP
Gender: M

Location and contact information for practice:
12424 RESEARCH PARKWAY SUIT 155  ORLANDO, DC 32826 US
Tel: 407-249-4774  Fax: --

Contact information for business:
12012 LAKE CYPRESS CIR C302  ORLANDO, FL 32828 US
Tel: 407-619-7548  Fax: --

Registration Information:
NPI: 1447292651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA 6265

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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