Joann Maureen Keenan, PTA
Individual provider Active NPI Developmental Therapist · Clifton Heights, PA
NPI 1972887602 · NPPES record last updated Sep 29, 2011
Key facts
- NPI
- 1972887602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- TE006612 (PA)
- Practice address
- 229 W Baltimore Ave
Clifton Heights, PA 19018-1406 - Phone
- (610) 506-4403
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE006612 | PA | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | TE006612 | PA | Yes |
Addresses
Primary practice location
229 W Baltimore Ave
Clifton Heights, PA 19018-1406
Mailing address
229 W Baltimore Ave
Clifton Heights, PA 19018-1406
Phone (610) 506-4403
Other providers in Clifton Heights, PA
- Heroic Home Care LLC
- Honest Hands Home Care
- Innovative Home Care Agency LLC
- Corrine Jones
- Therese Kamanou
- Marziyeh Khodabakhsh
- Kidneycare Clinical Services LLC
- Koromas Home Care Services LLC
- Koromas Home Care Services LLC
- Michelle Koscinski
All providers in Clifton Heights, PA · Developmental Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.