Individual
KAILEY GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(717) 991-5521
Mailing address
115 PICADILLY RD, PORT MATILDA, PA 16870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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