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Individual

BRIANNE KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 359-1170
Mailing address
5001 SHERIDAN ST, APT 55C, DAVENPORT, IA 52806-4143
(815) 295-0541

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014027058
MO

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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