Individual
TABITHA RENE KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 AIRLINE RD, COLUMBUS, MS 39702-6348
(662) 327-9404
Mailing address
21 NICKLAUS LN APT 7, STARKVILLE, MS 39759-6637
(662) 769-8206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2492
MS
225X00000X
Occupational Therapist
OTR-2297
AR
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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