Individual
MR. KEITH PETER KOURAFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4525 ACUSHNET AVE, NEW BEDFORD, MA 02745-4727
(508) 009-7807
Mailing address
4525 ACUSHNET AVE, NEW BEDFORD, MA 02745-4727
(508) 998-7807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3674
MA
225200000X
Physical Therapy Assistant
Primary
A8243
NC
Other
Enumeration date
03/17/2021
Last updated
12/14/2023
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