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CANDICE M. KEENE DPT, ATC
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1912226119
Individual Registrant: CANDICE M. KEENE DPT, ATC
Gender: F
Sole Proprietor
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
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
Tel: 205-652-3875 Fax: 205-652-3799
Registration Information:
NPI: 1912226119
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | MS | PT4272 |
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AL | PTH6403 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
