Individual
TAMI KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8784 PERRY LONG CT, KEMPTON, PA 19529-8922
(610) 972-0964
Mailing address
8784 PERRY LONG CT, KEMPTON, PA 19529-8922
(610) 972-0964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002508
PA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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