Individual
ERIC KEELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
1890 CALLE BUENA VIS, DELAND, FL 32724-8754
(386) 736-4954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18346
FL
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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