Individual
DOROTHY KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2862 N CLOVERLAND AVE, TUCSON, AZ 85712-1306
(520) 416-4385
Mailing address
2862 N CLOVERLAND AVE, TUCSON, AZ 85712-1306
(520) 416-4385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006629
AZ
225X00000X
Occupational Therapist
14000
CA
Other
Enumeration date
07/30/2012
Last updated
06/05/2020
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