Individual
MARK A KEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 EAST RHODE ISLAND AVE. EXT., SOUTHERN PINES, NC 28387
(910) 692-0371
(910) 692-0346
Mailing address
903 BUCKLER AVE., ABERDEEN, NC 28315
(757) 268-1817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3793
NC
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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