Individual
KEITH MORRIS CROSSWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1409 DEVINE ST, COLUMBIA, SC 29208-0001
(803) 777-6894
(803) 777-0126
Mailing address
115 LARKSPUR RD, COLUMBIA, SC 29212-2047
(803) 732-2110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291
SC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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