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Individual

DEBORAH SUZANNE KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1162 HIGHWAY 327 E, SILSBEE, TX 77656-5120
(409) 385-2500
(409) 385-2502
Mailing address
1162 HIGHWAY 327 E, SILSBEE, TX 77656-5120
(409) 385-2500
(409) 385-2502

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1158718
TX
225100000X
Physical Therapist
J1-0002104
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144328345
DPCI
DE
05
1144328345
DE
01
3748325000
IBC
DE
01
P00692870
MEDICARE RR
DE
Enumeration date
09/20/2006
Last updated
06/24/2010
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