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Individual

MRS. REBECCA J KEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2100 MIDWAY ST, COLUMBUS, IN 47201-3722
(812) 372-8447
(812) 375-5388
Mailing address
2100 MIDWAY ST, COLUMBUS, IN 47201-3722
(812) 372-8447
(812) 375-5388

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003537A
IN

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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