Individual
TARA MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 ETHAN ALLEN HIGHWAY, 2 NORTH AND SOUTH, RIDGEFIELD, CT 06877-0687
(203) 493-5056
(203) 493-5078
Mailing address
73 NEWTON RD UNIT 101, PLAISTOW, NH 03865-2440
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12369
CT
Other
Enumeration date
07/02/2019
Last updated
08/07/2019
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