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Mr. Michael Charles Gibbons, PT
Orthopedic Physical Therapist in Salem, Oregon
NPI 1659352441

Michael Charles Gibbons is a Orthopedic Physical Therapist based in Los Angeles, OR and is specialized in Orthopedic. Michael Charles Gibbons practices in Salem, OR and has the professional credentials of PT. The NPI Number for Michael Charles Gibbons is 1659352441 and holds a License No. 0979 (Oregon).

The current practice location address for Michael Charles Gibbons is 2480 Liberty St Ne, Salem, OR and can be reached out via phone at 503-763-3525 and via fax at 503-763-3526. You can also correspond with Michael Charles Gibbons through the mailing address at FILE 50469, LOS ANGELES, CA - 90074-0469 (mailing address contact number: 530-778-0200).

Location: 2480 Liberty St Ne, Salem, OR, 90074-0469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659352441
Provider Name
Michael Charles Gibbons
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2480 Liberty St Ne, Salem, OR, 90074-0469
Phone Number
503-763-3525
Fax Number
503-763-3526
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5467820001 01 OR MEDICARE DME NUMBER
227892 05 OR
institution
Provider Business Practice Location Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97303-6780
Phone Number
503-763-3525
Fax Number
503-763-3526
person
Provider Business Mailing Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97303-6780
Phone Number
503-763-3525
Fax Number
503-763-3526
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
0979 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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