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Individual
MINDY ANN KEATOR
Active
Individual
MINDY ANN KEATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013012
NY
225X00000X
Occupational Therapist
Primary
OC008798
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011264701
UNIVERA
—
01
—
000670162001
WNYBCBS
—
01
—
001547543
KEYSTONE SELECT BLUE
—
05
—
02532543
—
NY
05
—
100847694
—
PA
01
—
1699692
GHI
—
01
—
175626062
TRICARE
—
01
—
22361607
MPN EMPIRE PLAN
—
01
—
223616077
UNITED HEALTHCARE
—
01
—
240033
HEALTH AMERICA
—
Enumeration date
09/28/2006
Last updated
10/23/2014
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