Individual
DR. JONATHAN THOMAS KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9095
SC
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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