Individual
CATHERINE LUCILLE MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
264 HALLOCK RD, STONY BROOK, NY 11790-3027
(631) 689-5978
Mailing address
264 HALLOCK RD, STONY BROOK, NY 11790-3027
(631) 689-5978
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012018
NY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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