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1306614359
CARRIE KEITH
SHREVEPORT, LA
NPI
1306614359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09034R)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
CARRIE KEITH DPT
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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Mailing Address
CARRIE KEITH DPT
251 PADGETT RD
BENTON, LA 71006-8661
Phone number: 708-772-1611
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