Keithchanda Boone, PTA, BS-CSM

NPI #1437821584 in Bryan, Texas

Provider Information

NPI Number: 1437821584
Entity Type: Individual
Name: Keithchanda Boone, PTA, BS-CSM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, BS-CSM
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 2345 MANOR DR
City: Bryan
State: Texas
ZIP Code: 77802-1908
Phone: (979) 821-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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