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Organization
UPSTATE PHYSICAL THERAPY
Active
Organization
UPSTATE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE KEESE PT (CO-OWNER)
(864) 261-3313
Entity
Organization
Contact information
Practice address
120 MUTUAL DR, ANDERSON, SC 29621
(864) 261-3313
(864) 261-3371
Mailing address
120 MUTUAL DRIVE, ANDERSON, SC 29621
(864) 261-3313
(864) 261-3371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8340
MEDICARE ID
SC
Enumeration date
05/04/2006
Last updated
03/03/2021
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