Individual
ELIZABETH J KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
54 WEST ST, CONCORD, MA 01742-2945
(978) 505-8165
Mailing address
54 WEST ST, CONCORD, MA 01742-2945
(978) 505-8165
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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