Individual
MISS KATE KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
164 W MAIN ST, CIRCLEVILLE, OH 43113-1620
(740) 477-6842
Mailing address
563 DOUGLAS DR, CIRCLEVILLE, OH 43113-1518
(740) 497-8678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04369
OH
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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