Individual
HEATHER ELAINE HALL KEATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
6620 DORIS CT, SELLERSBURG, IN 47172-9153
(502) 718-2408
Mailing address
6620 DORIS CT, SELLERSBURG, IN 47172-9153
(502) 718-2408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
164271
KY
225X00000X
Occupational Therapist
31006177A
IN
Other
Enumeration date
02/18/2019
Last updated
04/08/2020
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