Individual
LORA ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4304
(406) 455-2960
(406) 455-5947
Mailing address
500 15TH AVE S, GREAT FALLS, MT 59405-4304
(406) 455-2960
(406) 455-5947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
675
MT
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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