Individual
MRS. CORISSA JEAN KEEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4007 N KENMORE AVE, APT 1, CHICAGO, IL 60613-2092
(773) 458-3835
Mailing address
4007 N KENMORE AVE, APT 1, CHICAGO, IL 60613-2092
(773) 458-3835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-012968
IL
Other
Enumeration date
06/06/2006
Last updated
03/03/2020
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