Individual
KEEGAN KM LERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
815 NW 9TH ST STE 180, CORVALLIS, OR 97330-6173
(541) 768-5157
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61872
OR
Other
Enumeration date
08/01/2016
Last updated
10/17/2023
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