Individual
MRS. ALYSSA VICTORIA KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020
(518) 587-5747
(518) 583-9607
Mailing address
6 KINGSLEY AVENUE, GANSEVOORT, NY 12831
(518) 695-9408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011563
NY
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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