Individual
JACOB E KEETING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 UNIVERSITY AVE, MORGANTOWN, WV 26505-0382
(304) 241-5670
Mailing address
625 LINCOLN AVE STE 208, CHARLEROI, PA 15022-2451
(724) 483-2159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004130
WV
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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