Individual
CHARLES KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1320 OAKFIELD DR, BRANDON, FL 33511-4860
(813) 607-6880
Mailing address
8416 DEL LARGO CIRCLE, 104, TAMPA, FL 33614
(740) 317-3597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36521
FL
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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