Organization · Type 2 NPI

Gibson of Jax, Inc.

Developmental Therapist · Jacksonville, FL

NPI number 1831422112 Active

Practice location

3775 Cricket Cove Rd E
Jacksonville, FL 32224-8401

Call (904) 254-0337 Map

Fax (904) 223-4368

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed
Speech-Language Pathologist 235Z00000XSA 5525 (FL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1831422112

Gibson of Jax, Inc.'s National Provider Identifier is 1831422112, issued on Sep 17, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 17, 2009.