Individual
MRS. EVYL LYNN KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
25 BISHOP AVE, WILLISTON, VT 05495-7871
(802) 878-8330
Mailing address
172 BROWNS RIVER RD, ESSEX JUNCTION, VT 05452-2220
(802) 872-8202
(802) 872-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18702
VT
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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