Individual
MS. AMANDA KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00582
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050456866
TAX ID
—
01
—
26679
NEIGHBORHOOD PIN
RI
01
—
402508
BLUE CHIP
RI
01
—
6400148
UNITED HEALTH OF NEW ENGL
—
01
—
75277
RI BLUE CROSS
RI
01
—
8225
NEIGHBORHOOD PIN GROUP
RI
Enumeration date
06/03/2006
Last updated
09/23/2011
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