Individual
KEEGAN EILEEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39400
CA
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/05/2012
Last updated
04/13/2020
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