| NPI | 1457750648 |
|---|---|
| Former Name | BRENNA K KEANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039554-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10169) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-02-19 |