Keith Carregal

NPI #1679843171 in Saint Augustine, Florida

Provider Information

NPI Number: 1679843171
Entity Type: Individual
Name: Keith Carregal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 31, 2011
Last Updated: Dec 31, 2011

Practice Location

Address: 365 SUMMERCOVE CIR
City: Saint Augustine
State: Florida
ZIP Code: 32086-5951
Phone: (904) 315-8525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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