KEITH FREEMAN STODDARD

ANDERSON, SC
NPI1760502611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2085)
Enumeration Date2007-03-31
Last Update Date2007-07-08
Business Address
-- KEITH FREEMAN STODDARD PTA
4605 BELTON HWY
ANDERSON, SC 29621-5045
Phone number: 864-261-6734
Mailing Address
-- KEITH FREEMAN STODDARD PTA
1300 STONEHURST DR
ANDERSON, SC 29621-2951
Phone number: 864-231-6238
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