MR. Keith Martin Liccardi, MPT
NPI #1295040731 in Fairview, Pennsylvania
Provider Information
- NPI Number
- 1295040731
- Entity Type
- Individual
- Name
- MR. Keith Martin Liccardi, MPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Aug 9, 2010
- Last Updated
- Aug 9, 2010
Practice Location
- Address
- 890 GREENER PL
- City
- Fairview
- State
- Pennsylvania
- ZIP Code
- 16415-1567
- Phone
- (814) 474-5521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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