| NPI | 1992840359 |
|---|---|
| Former Name | JANE MCKEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 45) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 1806) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-05-25 |