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Individual

DR. ADDISON T MCKEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6604 ROBERTA RD, HARRISBURG, NC 28075-9532
(704) 455-1172
Mailing address
6604 ROBERTA RD, HARRISBURG, NC 28075-9532
(704) 455-1172

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1386254944
SC
225100000X
Physical Therapist
Primary
P19745
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P19745
NC LICENSE
NC
Enumeration date
08/07/2020
Last updated
11/28/2025
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