Keenan Clovis, PTA

NPI #1063834703 in Spokane Valley, Washington

Provider Information

NPI Number
1063834703
Entity Type
Individual
Name
Keenan Clovis, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 15, 2014
Last Updated
Jan 15, 2014

Practice Location

Address
E.12707 MASFIELD AVE APT# B301
ZIP Code
99216
Phone
(409) 499-2240

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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