Michael Paul Keenan PT,DPT,ATC

NPI 1679719645 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1679719645
Gender Male
Enumeration Date 12/22/2008
Last Updated 11/12/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2129 W OREGON AVE
3RD FLOOR
PHILADELPHIA PA, 19145-4131, US
Phone (215) 336-6630
Fax
Business Location
315 NEW ST
APT 112
PHILADELPHIA PA, 19106-1132, US
Phone (215) 858-4560
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Pennsylvania
License Number 070802068
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According to our database, Michael Paul Keenan PT,DPT,ATC NPI is 1679719645, taxonomy code is 2255A2300X and license number is 070802068, license state is located at Pennsylvania. Michael Paul Keenan PT,DPT,ATC physically located at 2129 W Oregon Ave, Philadelphia PA, 19145-4131. NPI Number Michael Paul Keenan PT,DPT,ATC has the Individual type.

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1679719645 NPI number is provided on an as is basis without warranty of any kind. 1679719645 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Paul Keenan PT,DPT,ATC are for informational purposes only.