KEITH WADE PESNELL PT

Dr KEITH WADE PESNELL PT is a male medical professional, specializing in Physical Therapy. He graduated in 1993.

Contact

421 S VELASCO ST
ANGLETON
TX
775156015

Tel:

KEITH WADE PESNELL PT Information

Npi 1194760371
Pac Id 7416912118
Professional Enrollment Id I20060505000773
Last Name PESNELL
First Name KEITH
Middle Name WADE
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1993
Primary Specialty PHYSICAL THERAPY
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Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 421 S VELASCO ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANGLETON
State TX
Zip Code 775156015
Phone Number
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Hospital Affiliation Ccn 2
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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