Fitzgerald Keogh, Molly

Fitzgerald Keogh, Molly is an individual health care provider with primary practice located at 9801 Frontier Ave Se , Snoqualmie WA 98065-5200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fitzgerald Keogh, Molly can be contacted via phone (425) 831-2321.

Contact Information

Primary practice address
9801 Frontier Ave Se Snoqualmie WA 98065-5200
Phone: (425) 831-2321
Fax: (425) 831-2361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P1 60338751 Washington

Profile Details

NPI number 1841604949
LBN Legal business name Fitzgerald Keogh, Molly
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jun 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841604949 NPPES
Washington Other P1 60338751 PTA LICENSE

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