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1760512750
KRISTA J KEANE
CHICAGO, IL
NPI
1760512750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160-003669)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- KRISTA J KEANE PTA
222 S RIVERSIDE PLZ SUITE 830
CHICAGO, IL 60606-5808
Phone number: 866-386-0773
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Mailing Address
-- KRISTA J KEANE PTA
2541 LYMAN LOOP
YORKVILLE, IL 60560
Phone number:
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