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Individual

TANESHA KEETON

Active
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Individual

TANESHA KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113110
TX
225X00000X
Occupational Therapist
2617
AL
225X00000X
Occupational Therapist
Primary
OT004612
GA
225X00000X
Occupational Therapist
OT13437
FL

Other

Enumeration date
01/13/2014
Last updated
01/13/2014
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