Organization
KILEY COLEMAN GIBBS PEDIATRIC PHYSICAL THERAPY
Active
Organization
KILEY COLEMAN GIBBS PEDIATRIC PHYSICAL THERAPY
Active
Other names
KCG Pediatric Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY C GIBBS PT, DPT, MA, PCS (OWNER/ PHYSICAL THERAPIST)
(240) 377-6179
Entity
Organization
Contact information
Practice address
21631 RIDGETOP CIR STE 225A, STERLING, VA 20166-6742
(240) 377-6179
(240) 397-5370
Mailing address
19208 DEER PATH, KNOXVILLE, MD 21758-1344
(240) 377-6179
(240) 397-5370
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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