Individual
KEEGAN ANDREW CAMPBELL WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(376) 484-1610
Mailing address
140 SCOTLAND DR, READING, PA 19606-9019
(717) 615-9904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013324
PA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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