Individual
MRS. LAURIE M KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
145 BIRCH ST, LEWISTON, ME 04240-6480
(207) 795-4120
Mailing address
145 BIRCH ST, LEWISTON, ME 04240-6480
(207) 795-4120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT47
ME
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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