Doctor Name: | DR. ERIC MATTHEW KEENE |
NPI Number: | 1356706691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, CFMT, CSCS |
License Number: | 010257 |
Business Practice Address: | 1445 E Putnam Ave 2nd Floor Old Greenwich, CT - 068701379 |
Business Phone Number: | 2039835748 |
Business Fax Number: | |
Mailing Address: | 160 Riverside Blvd, Apt. 9n NEW YORK |
State: | NY |
Postal Code: | 100690701 |
Phone Number: | 2153505181 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2015 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 010257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |