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Individual
JORDAN VALERIE KEEN
Active
Individual
JORDAN VALERIE KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27862
FL
2251X0800X
Orthopedic Physical Therapist
2305204190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010206456
—
VA
01
—
P00466835
RR MEDICARE
VA
Enumeration date
05/19/2006
Last updated
07/12/2023
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