Individual
BENJAMIN HOUSTON KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
11660 ALPHARETTA HWY STE 200, ROSWELL, GA 30076-3874
(404) 436-7416
(770) 643-0869
Mailing address
11660 ALPHARETTA HWY STE 200, ROSWELL, GA 30076-3874
(404) 436-7416
(770) 643-0869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
007214
GA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007214
GEORGIA LICENSE
GA
Enumeration date
11/26/2018
Last updated
04/03/2026
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