Individual
DR. KEENAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11350 MCCORMICK RD STE LL12, HUNT VALLEY, MD 21031-1002
(443) 213-0395
Mailing address
144 KETTLE CT, WINDSOR MILL, MD 21244-2513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29434
MD
Other
Enumeration date
05/18/2023
Last updated
08/29/2024
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