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1356635056
KEITH SCOTT
CHAMPAIGN, IL
NPI
1356635056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
-- KEITH SCOTT PT
1612 S NEIL ST
CHAMPAIGN, IL 61820-7212
Phone number: 217-355-1961
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Mailing Address
-- KEITH SCOTT PT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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