Individual
KIRKLAND PATRICK KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT ASSISTANT
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
1082 WHITETAIL DR, FAIRBORN, OH 45324-8718
(937) 301-7717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5247
OH
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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