Individual
CRYSTAL UMEKA KEITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 PAMPLICO HWY, FLORENCE, SC 29505-8502
(843) 669-3502
Mailing address
252 SADDLEBROOKE RD, LEXINGTON, SC 29072-7981
(803) 290-0892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4717
SC
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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