Individual
MRS. CRYSTAL JEAN KEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2082
Mailing address
504 S MADISON ST, PRAIRIE DU CHIEN, WI 53821-2048
(608) 412-1311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5313-26
WI
Other
Enumeration date
02/27/2013
Last updated
05/21/2014
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