Individual
DIANE MARY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5882
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
399-26
WI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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