Individual
KOURTNEE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 TALLEY RD # 78253, SAN ANTONIO, TX 78253-9300
(210) 284-9968
Mailing address
6060 TALLEY RD # 78253, SAN ANTONIO, TX 78253-9300
(210) 284-9968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218929
TX
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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