Individual
JOHN MARK KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16 OVERHILL RD, MOUNT LAUREL, NJ 08054-2045
(609) 757-2527
Mailing address
204 ARK RD, MOUNT LAUREL, NJ 08054-3100
(856) 553-1151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00359700
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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