Individual
JENIECE MARIE KEGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(843) 235-9393
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004043
WV
225100000X
Physical Therapist
1286726
TX
225100000X
Physical Therapist
9038
SC
225100000X
Physical Therapist
PT31710
FL
Other
Enumeration date
11/11/2019
Last updated
02/14/2020
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