Individual
MRS. JULIE M KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
333 E 2ND ST, RICHLAND CENTER, WI 53581-1914
(608) 647-6321
Mailing address
S9619 RAHL RD, PRAIRIE DU SAC, WI 53578-9782
(608) 643-4353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
196-27
WI
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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