Individual
RHONDA VINCENT KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4835 SPRINGFIELD DR, DUNWOODY, GA 30338-4913
(678) 234-5292
Mailing address
4835 SPRINGFIELD DR, DUNWOODY, GA 30338-4913
(678) 234-5292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT004932
GA
2251P0200X
Pediatric Physical Therapist
Primary
PT004932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966765A
—
GA
Enumeration date
03/21/2014
Last updated
03/21/2014
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