Individual
KEYANA SHEVIKA DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 830-9517
(770) 830-5957
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 830-9517
(770) 830-5957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009434
GA
2255A2300X
Athletic Trainer
001849
GA
Other
Enumeration date
09/03/2008
Last updated
08/20/2019
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