Individual
MS. JOANNE MOIRA KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
2526 VERANDA NW, ALBUQUERQUE, NM 87107
(505) 550-4096
(505) 266-2422
Mailing address
2526 VERANDA NW, ALBUQUERQUE, NM 87107
(505) 550-4096
(505) 266-2422
Taxonomy
Speciality
Code
Description
License number
State
225XH1300X
Human Factors Occupational Therapist
2118
NM
225XP0200X
Pediatric Occupational Therapist
Primary
2118
NM
Other
Enumeration date
11/13/2006
Last updated
01/31/2008
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