Individual
MRS. AIMEE T KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CSCS
Contact information
Practice address
8000 CHEROKEE ST, PHILADELPHIA, PA 19118-4135
(215) 261-6878
Mailing address
8000 CHEROKEE ST, PHILADELPHIA, PA 19118-4135
(215) 261-6878
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003642
PA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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