| NPI | 1629475231 |
|---|---|
| Former Name | ASHLEY KEOGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038375) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 038375) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-03-28 |