Individual
EMILIE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
341 AVONDALE AVE, HADDONFIELD, NJ 08033-2638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01569300
NJ
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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