Individual
DEBORAH IRENE KEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 257-1555
(607) 257-2958
Mailing address
555 WARREN RD, ITHACA, NY 14850-1862
(607) 257-1555
(607) 257-2958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002292-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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