Individual
ELIZABETH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 TRACEY DR, PANAMA CITY, FL 32404-8659
(850) 896-1558
Mailing address
529 TRACEY DR, PANAMA CITY, FL 32404-8659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21311
FL
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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