Individual
MRS. MARILYN A KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7501 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3078
(571) 248-6100
(571) 248-6455
Mailing address
7501 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3078
(571) 248-6100
(571) 248-6455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000134
VA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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