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Individual

ERIN KEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L,SWC

Contact information

Practice address
2234 SCENICPARK ST, THOUSAND OAKS, CA 91362-1746
(818) 929-2202
(805) 492-3346
Mailing address
2234 SCENICPARK ST, THOUSAND OAKS, CA 91362-1746
(818) 929-2202
(805) 492-3346

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5629
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
5629
CA
225XP0200X
Pediatric Occupational Therapist
Primary
5629
CA

Other

Enumeration date
12/20/2009
Last updated
12/20/2009
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