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CANDICE M. KEENE DPT, ATC

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1912226119

Individual Registrant:
 CANDICE M. KEENE DPT, ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
1 COLLEGE DRIVE UNIVERSITY OF WEST ALABAMA LIVINGSTON, AL 35470 US
Tel: 205-652-3875  Fax: 205-652-3799

Contact information for business:
1 COLLEGE DR UNIVERSITY OF WEST ALABAMA LIVINGSTON, AL 35470-2098 US
Tel: 205-652-3875  Fax: 205-652-3799

Registration Information:
NPI: 1912226119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MSPT4272
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH6403

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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