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Individual

MRS. JODY KEENUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
2612 SHERWOOD DR SE, DECATUR, AL 35601-6733
(256) 606-6426

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0092
AL

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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