Individual
KIM ELAINE KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5255
Mailing address
34 MOHAWK DR, LISLE, NY 13797-1535
(607) 692-7552
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00026921
NY
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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