Individual
DOROTHEA KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 BRIAR RUN DR, RANSON, WV 25438-4838
(304) 728-1101
Mailing address
150 MULBERRY STREET, CHARLES TOWN, WV 25414
(304) 728-1101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000956
WV
225200000X
Physical Therapy Assistant
0994
NH
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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