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MRS. KEENA NATASHIA EDWARDS PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1598025074

Individual Registrant:
MRS. KEENA NATASHIA EDWARDS PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5009 RIVER CHASE DR STE 100C PHENIX CITY, AL 36867-7484 US
Tel: 334-298-0650  Fax: 334-298-1020

Contact information for business:
6397 LEE HWY STE 300  CHATTANOOGA, TN 37421-2564 US
Tel: 423-238-7217  Fax: 423-238-3473

Registration Information:
NPI: 1598025074
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ALPTA6225

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
EAST ALABAMA MEDICAL CENTER636000526AL01




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