Individual
SARAH C KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8200
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1687
ND
2251P0200X
Pediatric Physical Therapist
1687
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687
LICENSE
ND
Enumeration date
08/29/2012
Last updated
08/29/2012
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