| NPI | 1528597085 |
|---|---|
| Former Name | NICOLE MARIE O'KEEFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1291149) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1291149) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-08-14 |