Individual
FAWN C KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
68 CONSUMER CENTER DR, CHILLICOTHE, OH 45601-2667
(740) 773-6001
(740) 773-6007
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011554
OH
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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