Individual
KEYONDA MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1000 LENOX PARK BLVD NE, BROOKHAVEN, GA 30319-5827
(404) 869-0819
(404) 869-0778
Mailing address
1000 LENOX PARK BLVD NE, BROOKHAVEN, GA 30319-5827
(404) 869-0819
(404) 869-0778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010413
GA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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