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Individual

MS. JENNIE MARIE KEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
195 COLLYER ST., PROVIDENCE, RI 02906
(401) 793-4080
(401) 793-4110
Mailing address
3 DOROTHY AVE, WORCESTER, MA 01606-2209
(508) 852-5228

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01809
RI
225100000X
Physical Therapist
17052
MA

Other

Enumeration date
11/21/2006
Last updated
10/21/2011
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