Individual
KEITH DANIEL THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
327 FRONT ST, LITITZ, PA 17543-1603
(860) 402-3673
Mailing address
327 FRONT ST, LITITZ, PA 17543-1603
(860) 402-3673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005818
PA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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