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NPI Code Detail

MEDICARE: ELLEN S. O'KEEFE PT

MEDICARE: ELLEN S. O'KEEFE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305004844VA

General Provider Information

NPI Number : 1922244946
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN S. O'KEEFE PT
Provider Business Mailing Address
First Line : 8097 CROWN COLONY PKWY
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-3965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1717 BELLEVUE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3961
Country : US
Telephone Number : 804-401-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2008
Last Update Date : 06/05/2019

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