Individual
LINDA ROSALEE KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3078 N TIMBERFALLS PL, MERIDIAN, ID 83646-4508
(208) 867-1818
Mailing address
3078 N TIMBERFALLS PL, MERIDIAN, ID 83646-4508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1174
ID
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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