Individual
MRS. GEORGIANNA PARTAIN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
1000 FIANNA WAY, FORT SMITH, AR 72919-0001
(877) 823-8375
(800) 513-3588
Mailing address
126 CENTER ST, WELLFORD, SC 29385-9572
(864) 764-0236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
528
SC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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