Individual
TIFFANY KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46555 HARRY BYRD HWY, STERLING, VA 20164-3567
(703) 421-6406
(703) 421-6839
Mailing address
46555 HARRY BYRD HWY, STERLING, VA 20164-3567
(703) 421-6406
(703) 421-6839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23066601342
VA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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