Gibson, Penny Lynn

Gibson, Penny Lynn is an sole proprietor health care provider with primary practice located at 2528 Motor Pkwy , Ronkonkoma NY 11779-4943. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gibson, Penny Lynn can be contacted via phone (631) 471-9730.

Contact Information

Primary practice address
2528 Motor Pkwy Ronkonkoma NY 11779-4943
Phone: (631) 471-9730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003945-1 New York

Profile Details

NPI number 1487962791
LBN Legal business name Gibson, Penny Lynn
Credentials O.T.R./L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2010
Last updated Sep 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers