Individual
MRS. EILEEN B KEAVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(610) 525-4000
Mailing address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(610) 525-4000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000533L
PA
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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