Individual
MRS. LAUREN BROOKE KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 HERRON ST, FT. OGLETHORPE, GA 30742
(706) 861-7471
(706) 861-7472
Mailing address
118 HERRON ST, FT OGLETHORPE, GA 30742-3126
(706) 861-7471
(706) 861-7472
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009975
GA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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