Organization
REWIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KEENAN PT, DPT (PHYSICAL THERAPIST)
(740) 317-3597
Entity
Organization
Contact information
Practice address
8416 DEL LAGO CIR UNIT 104, TAMPA, FL 33614-2692
(740) 317-3597
Mailing address
8416 DEL LAGO CIR UNIT 104, TAMPA, FL 33614-2692
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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