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Individual
KEITH D HARRIS
Active
Individual
KEITH D HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CMTPT, DAC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305004493
VA
225100000X
Physical Therapist
Primary
PT38696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324581
ANTHEM
VA
Enumeration date
10/02/2006
Last updated
06/16/2022
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