Individual
MS. CAROLYN MARIE KIBELSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
203 E BALTIMORE AVE, MEDIA, PA 19063-3433
(610) 565-0670
(610) 789-9887
Mailing address
2714 CAMBRIDGE ST, PHILADELPHIA, PA 19130-1207
(410) 409-5061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017760
PA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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