Individual
EMILY MCKEON
Active
Individual
EMILY MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT001450
PA
225100000X
Physical Therapist
Primary
PT015061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022693930029
—
PA
01
—
773433
MEDICARE
PA
Enumeration date
03/27/2007
Last updated
04/30/2020
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