Individual
ASHLEY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16532 E 600TH AVE, NEWTON, IL 62448-4515
(618) 553-5709
Mailing address
16532 E 600TH AVE, NEWTON, IL 62448-4515
(618) 553-5709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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