Individual
KRISTA J KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
222 S RIVERSIDE PLZ, SUITE 830, CHICAGO, IL 60606-5808
(866) 386-0773
Mailing address
2541 LYMAN LOOP, YORKVILLE, IL 60560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-003669
IL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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