Individual
ANISSA F KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-5563
(843) 320-1000
Mailing address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-5563
(843) 320-1003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1153
SC
Other
Enumeration date
05/06/2009
Last updated
10/04/2010
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