Individual
CARRIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 222-5704
Mailing address
251 PADGETT RD, BENTON, LA 71006-8661
(708) 772-1611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09034R
LA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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