Individual
MRS. TAMMY RENEE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7978 PARK MEADOWS DR, BROWNSBURG, IN 46112-7848
(317) 858-9974
Mailing address
7978 PARK MEADOWS DR, BROWNSBURG, IN 46112-7848
(317) 858-9974
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000952A
IN
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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