Individual
EMMA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4702 CORTEZ RD W, BRADENTON, FL 34210-2801
(941) 253-5166
Mailing address
4702 CORTEZ RD W, BRADENTON, FL 34210-2801
(941) 253-5166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12274
FL
Other
Enumeration date
10/04/2013
Last updated
09/14/2021
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