Provider Demographics
NPI:1346317666
Name:GILES PEDIATRIC THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:GILES PEDIATRIC THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:678-362-7617
Mailing Address - Street 1:1565 MOUNTCLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9525
Mailing Address - Country:US
Mailing Address - Phone:678-362-7617
Mailing Address - Fax:678-513-2192
Practice Address - Street 1:1565 MOUNTCLAIRE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9525
Practice Address - Country:US
Practice Address - Phone:678-362-7617
Practice Address - Fax:678-513-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty