Individual
KEITHCHANDA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, BS-CSM
Contact information
Practice address
2345 MANOR DR, BRYAN, TX 77802-1908
(979) 821-7330
Mailing address
KCHANDALBOONE@GMAIL.COM, 4128 WHISPERING CREED DR. 77845, COLLEGE STATION, TX 77845
(979) 574-0166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2062868
TX
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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