MRS. Evelyn Keohane, LMT

NPI #1053508069 in North Baldwin, New York

Provider Information

NPI Number: 1053508069
Entity Type: Individual
Name: MRS. Evelyn Keohane, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 3, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 26 WALLACE AVE
City: North Baldwin
State: New York
ZIP Code: 11510-2156
Phone: (516) 608-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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