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Organization
KEA SPORTS COMPANY
Active
Organization
KEA SPORTS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE HOOKS (MANAGER)
(613) 917-9318
Entity
Organization
Contact information
Practice address
806 W JONES ST, PLANO, IL 60545-1839
(613) 917-9322
Mailing address
806 W JONES ST, PLANO, IL 60545-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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