NPI 1003526450
Danielle Keough, PTA
Practice location
- Address
- 1139 Main Ave, Warwick, RI 02886-1940
- Phone
- (401) 739-6600
- Mailing address
- 60 Stadden St, Providence, RI 02907-3548
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003526450
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2022
- Record last updated
- 28 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.