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Individual

MS. MONICA DELEAH KEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ORT/L

Contact information

Practice address
105 GALSWORTHY DR, GOOSE CREEK, SC 29445-7025
(843) 345-6402
(843) 569-0550
Mailing address
105 GALSWORTHY DR, GOOSE CREEK, SC 29445-7025
(843) 345-6402
(843) 569-0550

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
518
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH0074
SC
Enumeration date
09/28/2006
Last updated
05/18/2010
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