Individual
KEEGAN THERESA INTRONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18 ELM RD, POMPTON PLAINS, NJ 07444-1457
(862) 684-8418
Mailing address
18 ELM RD, POMPTON PLAINS, NJ 07444-1457
(862) 684-8418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00601400
NJ
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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