National Provider Identifier
Michaela Adrianna Gibson, OTR/L
Michaela Adrianna Gibson, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fredonia, NY and a listed phone number of (716) 672-4371.
Profile Overview
- NPI
- 1457804213
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 28, 2016
- Last Updated
- December 26, 2017
Practice Location
- 9520 Fredonia-Stockton Road
- Fredonia, NY 14063
Phone: (716) 672-4371
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1457804213
- Entity Type
- Individual
- Last Name
- Gibson
- First Name
- Michaela
- Middle Name
- Adrianna
- Name Prefix
- Mrs.
- Credential
- OTR/L
- Mailing Street Address
- 9520 Fredonia-Stockton Road
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063
- Mailing Country
- US
- Mailing Phone
- (716) 672-4371
- Practice Street Address
- 9520 Fredonia-Stockton Road
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063
- Practice Country
- US
- Practice Phone
- (716) 672-4371
- Enumeration Date
- July 28, 2016
- Last Updated
- December 26, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)