Doctor Name: | MS. JENNIE MARIE KEANE |
NPI Number: | 1144395955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 17052 |
Business Practice Address: | 195 Collyer St. Providence, RI - 02906 |
Business Phone Number: | 4017934080 |
Business Fax Number: | 4017934110 |
Mailing Address: | 3 Dorothy Ave, WORCESTER |
State: | MA |
Postal Code: | 016062209 |
Phone Number: | 5088525228 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |