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Individual

SARAH JEAN KEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 213-8674
(712) 749-5013
Mailing address
322 FOUNTAIN ST, APT. 2, CHEROKEE, IA 51012-1912
(712) 579-0604

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001214
IA

Other

Enumeration date
10/26/2009
Last updated
10/26/2009
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