Susan Keaney-Gannon, PT

NPI #1538586292 in Setauket, New York

Provider Information

NPI Number: 1538586292
Entity Type: Individual
Name: Susan Keaney-Gannon, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 19, 2014
Last Updated: Mar 19, 2014

Practice Location

Address: 31 UNIVERSITY DR
City: Setauket
State: New York
ZIP Code: 11733-1133
Phone: (631) 445-2241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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