Individual
KEITH JOSEPH BELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4101 RAEFORD RD, FAYETTEVILLE, NC 28304-4114
(910) 570-3285
Mailing address
2913 S BANK CT, FAYETTEVILLE, NC 28306-8712
(910) 797-9426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4029
NC
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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