Individual
ERIC KEAVNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1815 W 213TH ST, SUITE 100, TORRANCE, CA 90501-2800
(310) 328-0693
Mailing address
2640 HERMOSA AVE, #3, HERMOSA BEACH, CA 90254-2407
(310) 376-3177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12917
CA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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