Individual
MRS. ANITA M KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 794-8008
Mailing address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 794-8008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5018
NC
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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