Individual
CHARLES SCOTT KEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E 40TH ST, HOLLAND, MI 49423-5342
(616) 834-1703
Mailing address
750 E 40TH ST, HOLLAND, MI 49423-5342
(616) 834-1703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005238
MI
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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