Individual
MR. COURTNEY R KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 BROADMOOR BLVD, LAFAYETTE, LA 70503-5134
(337) 280-9011
Mailing address
302 BROADMOOR BLVD, LAFAYETTE, LA 70503-5134
(337) 280-9011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07350
LA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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