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Individual

DR. KEITH W FANDRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
8763 E BELL RD STE 102, SUITE 102, SCOTTSDALE, AZ 85260-1318
(480) 513-4801
Mailing address
291 W NEW DAWN DR, CHANDLER, AZ 85248-5306
(312) 504-7991

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
5823
OR
2251X0800X
Orthopedic Physical Therapist
Primary
9252PT
AZ

Other

Enumeration date
12/30/2010
Last updated
05/06/2015
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