Most Relevant Information
Provider Data
| NPI Number: | 1003389800 |
| Provider Name: | LEAH GIBSON MS, OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201008330 |
Most Important Dates
| Enumeration Date: | 01/04/2019 |
| Last Updated: | 11/09/2020 |
Provider Practice Location
3600 FULTON ST E
GRAND RAPIDS
MI
495461322
Practice Location Phone/Fax
| Phone: | 6169494971 |
| Fax: |
Provider Mailing Location
724 EVELYN ST NE
GRAND RAPIDS
MI
495054270
Provider Mailing Phone/Fax
| Phone: | 9892394934 |
| Fax: |