Provider Demographics
NPI:1558807602
Name:LINDA KEENE INC
Entity Type:Organization
Organization Name:LINDA KEENE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:954-895-4695
Mailing Address - Street 1:5232 NE 2ND TER
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-1683
Mailing Address - Country:US
Mailing Address - Phone:954-895-4695
Mailing Address - Fax:
Practice Address - Street 1:5232 NE 2ND TER
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-1683
Practice Address - Country:US
Practice Address - Phone:954-895-4695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT17234251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health