Karen Elizabeth Keenan, PT

Individual provider Active NPI Physical Therapist · Robesonia, PA

NPI 1629078944 · NPPES record last updated Aug 13, 2009

Key facts

NPI
1629078944
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT016931 (PA)
Practice address
1011 W Penn Ave
Robesonia, PA 19551-9550
Phone
(610) 589-2263
Fax
(610) 589-2232
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016931 PA Yes

Addresses

Primary practice location

1011 W Penn Ave
Robesonia, PA 19551-9550

Mailing address

1011 W Penn Ave
Robesonia, PA 19551-9550
Phone (610) 589-2263

Other identifiers

IdentifierTypeStateIssuer
163002MedicaidPA

Other providers in Robesonia, PA

All providers in Robesonia, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.