Individual
DOMINIQUE KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
38 W 32ND ST, NEW YORK, NY 10001-3816
(212) 290-0290
Mailing address
228 WINDSOR PL APT 2, BROOKLYN, NY 11215-5918
(646) 725-9709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019397
NY
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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