Individual
TAYLOR KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
40 MIAMI AVE, FREDERICKTOWN, OH 43019
(740) 251-3226
Mailing address
40 MIAMI AVE, FREDERICKTOWN, OH 43019-8508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
998
CA
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06184
OH
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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