Individual
LAUREN MARGARET KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 JOHNSON FERRY PL, SUITE I-20, MARIETTA, GA 30068-2048
(770) 321-6705
(404) 551-3891
Mailing address
1230 JOHNSON FERRY PL, SUITE I-20, MARIETTA, GA 30068-2048
(770) 321-6705
(404) 551-3891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005193
GA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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