Individual
DIANNE E KEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
15513 LEXINGTON, REDFORD, MI 48239-3912
(313) 255-1302
Mailing address
15513 LEXINGTON, REDFORD, MI 48239-3912
(313) 255-1302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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