DR. Lea Camille Domingo Keenantasker, DPT

NPI #1245061019 in Dallas, Oregon

Provider Information

NPI Number: 1245061019
Entity Type: Individual
Name: DR. Lea Camille Domingo Keenantasker, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 12, 2024
Last Updated: Aug 12, 2024

Practice Location

Address: 377 NW JASPER ST
City: Dallas
State: Oregon
ZIP Code: 97338-1279
Phone: (503) 623-5581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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