MR. Richard Stephen Keohane SR., P.T., D.P.T.
NPI #1003107269 in North Baldwin, New York
Provider Information
- NPI Number
- 1003107269
- Entity Type
- Individual
- Name
- MR. Richard Stephen Keohane SR., P.T., D.P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T., D.P.T.
- Enumeration Date
- Apr 22, 2011
- Last Updated
- Apr 22, 2011
Practice Location
- Address
- 26 WALLACE AVE
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-2156
- Phone
- (718) 755-5047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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