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Individual
MR. KEITH L GOOD
Active
Individual
MR. KEITH L GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006367L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03119701
BLUE CROSS
PA
01
—
530787
BLUE SHIELD
PA
Enumeration date
01/18/2006
Last updated
06/04/2012
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