Individual
MR. KEENAN DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11 CHERRY TREE LN, MIFFLINBURG, PA 17844-9542
(570) 490-0174
Mailing address
11 CHERRY TREE LN, MIFFLINBURG, PA 17844-9542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009979
PA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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