Individual
MRS. ANNASTATIA K KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
411 WAVERLEY OAKS RD, BUILDING #3, SUITE 305, WALTHAM, MA 02452-8448
(781) 894-6564
(781) 893-5938
Mailing address
411 WAVERLEY OAKS ROAD, BUILDING #3, SUITE 305, WALTHAM, MA 02452
(781) 894-6564
(781) 893-5938
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
13385
MA
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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