Individual
SHAWN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 E LANCASTER AVE, JAKE NEVIN FIELDHOUSE, VILLANOVA, PA 19085-1603
(610) 519-7430
Mailing address
3446 PIN OAK LN, CHALFONT, PA 18914-3459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004768
PA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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