Individual
MRS. LISA ANN DEVINE-KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
26 ARBOR DR, PROVIDENCE, RI 02908-3533
(401) 421-7614
Mailing address
26 ARBOR DR, PROVIDENCE, RI 02908-3533
(401) 421-7614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6021
MA
225100000X
Physical Therapist
Primary
666
RI
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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