Individual provider · Type 1 NPI

Susan H. Gibson, PT

Pediatric Physical Therapist · Champaign, IL

NPI number 1659545507 Active

Practice location

1304 W Bradley Ave
Champaign, IL 61821-2035

Call (217) 359-0287 Map

Mailing address

123 W William St
Monticello, IL 61856-1939

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070003093 (IL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1659545507

Susan H. Gibson, PT's National Provider Identifier is 1659545507, issued on Apr 22, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Champaign, IL. The record was last updated on Apr 22, 2008.