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Individual
ELIZABETH LOUISE KEATING
Active
Individual
ELIZABETH LOUISE KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00027575
—
NY
01
—
10101794
CDPHP
—
01
—
795853
MVP
—
Enumeration date
05/11/2006
Last updated
09/26/2016
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