IndividualActive
Tara Gibson, PT
NPI 1871009225 · Neurology Physical Therapist · Lake Mary, FL
Provider details
- NPI number
- 1871009225
- Entity type
- Individual
- Primary specialty
- Neurology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT38351 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 Waymont Ct Ste 120
Lake Mary, FL 32746-3412
Phone: (502) 759-2444
Approximate (ZIP-level) locationGet directions
Mailing address
100 Waymont Ct Ste 120
Lake Mary, FL 32746-3412
Registry dates
- Enumerated
- 2017-12-21
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.