Provider Demographics
NPI:1710523055
Name:KEATING, PATRICIA KEENEY (PT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KEENEY
Last Name:KEATING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14115 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MD
Mailing Address - Zip Code:21036-1017
Mailing Address - Country:US
Mailing Address - Phone:410-236-3347
Mailing Address - Fax:
Practice Address - Street 1:14115 HOWARD RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:MD
Practice Address - Zip Code:21036-1017
Practice Address - Country:US
Practice Address - Phone:410-236-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist