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KEONI STALLWORTH, DPT

DPT

Physical Therapist

NPI: 1154163186IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist — Sports

Code: 2251S0007X

PENDING(CA)

Physical Therapist

Code: 225100000X

PT306848(CA)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE

Class of 2024

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Contact & Hours

Address
1640 MARENGO ST HBA 102
LOS ANGELES, CA 90089

Quick Facts

NPI
1154163186
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
2

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