Individual
SHELBY L KEFFELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 603-9079
Mailing address
9609 SALEM RD NE, ALBUQUERQUE, NM 87112-1351
(505) 603-9079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3429
NM
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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