Individual
JILLIAN DOROTHY KELLER-FACAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02381900
NJ
225100000X
Physical Therapist
Primary
CP051528T
CO
225100000X
Physical Therapist
CP055747T
OR
Other
Enumeration date
12/08/2025
Last updated
04/30/2026
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