Individual
SALLIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4300
(804) 342-4316
Mailing address
4006 MILL MANOR DR, MIDLOTHIAN, VA 23112-7001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603128
VA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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