Individual
JESSICA L KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1705 SKYLYN DR, SPARTANBURG, SC 29307-1077
(864) 582-6838
(864) 583-3259
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5792
SC
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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