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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