Individual
ELIZABETH KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1192 BRITTNEY BLVD, SEYMOUR, IN 47274-8559
(812) 756-1734
Mailing address
1192 BRITTNEY BLVD, SEYMOUR, IN 47274-8559
(812) 756-1734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003798A
IN
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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