Kimberly A. Keller OT

NPI 1720279409 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1720279409
Gender Female
Enumeration Date 08/07/2007
Last Updated 10/29/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2005 JACOBSSEN DR
SUITE A
NORMAL IL, 61761-6287, US
Phone (309) 807-2233
Fax (309) 661-4666
Business Location
2005 JACOBSSEN DR
SUITE A
NORMAL IL, 61761-6287, US
Phone (309) 807-2233
Fax (309) 454-5167
Toxanomy
Taxonomy Code 208100000X
License State Illinois
License Number 056-004609
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According to our database, Kimberly A. Keller OT NPI is 1720279409, taxonomy code is 208100000X and license number is 056-004609, license state is located at Illinois. Kimberly A. Keller OT physically located at 2005 Jacobssen Dr, Normal IL, 61761-6287. NPI Number Kimberly A. Keller OT has the Individual type.

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1720279409 NPI number is provided on an as is basis without warranty of any kind. 1720279409 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A. Keller OT are for informational purposes only.