Individual
LUCRETIA KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 W PADONIA RD, SUITE 132, LUTHERVILLE TIMONIUM, MD 21093-2226
(410) 560-5944
(410) 560-6944
Mailing address
22 W.PADONIA ROAD, SUITE C132, TIMONIUM, MD 21093-2238
(410) 560-5944
(410) 560-6944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532298
BLUE CROSS BLUE SHIELD #
MD
Enumeration date
06/09/2006
Last updated
03/04/2015
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