Individual
JOSEPH M KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 ARNOLD MILL RD, WOODSTOCK, GA 30188-5027
(770) 926-0016
Mailing address
134 OLD CANTON RD, BALL GROUND, GA 30107-4002
(678) 662-2284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003393
GA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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