Most Relevant Information
Provider Data
| NPI Number: | 1003397118 |
| Provider Name: | TAMERA ANN GIBSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
540 E. HWY 29
BERTRAM
TX
78605
Practice Location Phone/Fax
| Phone: | 5123552116 |
| Fax: | 5123553416 |
Provider Mailing Location
PO BOX 1615
BERTRAM
TX
786051615
Provider Mailing Phone/Fax
| Phone: | 5123552116 |
| Fax: | 5123553416 |