Doctor Name: | DR. CHARLES ARTHUR KIBBEY |
NPI Number: | 1205835519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., D.P.T |
License Number: | 14627 |
Business Practice Address: | 5480 Wisconsin Ave Ste B-1 Chevy Chase, MD - 208153530 |
Business Phone Number: | 3016547383 |
Business Fax Number: | 3016547897 |
Mailing Address: | 5480 Wisconsin Ave, Ste B-1 CHEVY CHASE |
State: | MD |
Postal Code: | 208153530 |
Phone Number: | 3016547383 |
Fax Number: | 3016547897 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 14627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |