KEITH WILLIAM LANCASTER

MARION, IN
NPI1447377304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004606A)
Enumeration Date2007-03-24
Last Update Date2007-07-08
Business Address
-- KEITH WILLIAM LANCASTER DPT
4411 S ADAMS ST
MARION, IN 46953-5349
Phone number: 765-674-4455
Mailing Address
-- KEITH WILLIAM LANCASTER DPT
4411 S ADAMS ST
MARION, IN 46953-5349
Phone number: 765-674-4455