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Individual

KEITH ROBERT COY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
9001 RIDGE AVE UNIT 26, PHILADELPHIA, PA 19128-1064
(215) 850-3526
Mailing address
9001 RIDGE AVE UNIT 26, PHILADELPHIA, PA 19128-1064
(215) 850-3526

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10192
CT
225100000X
Physical Therapist
J1-0014449
DE
2251X0800X
Orthopedic Physical Therapist
Primary
PT021483
PA

Other

Enumeration date
10/05/2012
Last updated
03/15/2022
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