Organization
LAURA KEELEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN KEELEY (PHYSICAL THERAPIST ASSISTANT)
(330) 898-6803
Entity
Organization
Contact information
Practice address
620 WATER ST, CHARDON, OH 44024-1149
(440) 285-9378
Mailing address
2532 PHALANX MILLS HERNER RD, SOUTHINGTON, OH 44470-9515
(330) 898-6803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
08401
OH
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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