Individual
LAURA KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 WATER ST, CHARDON, OH 44024-1149
(440) 285-9400
Mailing address
2532 PHALANX MILLS HERNER RD, SOUTHINGTON, OH 44470-9515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 08401
OH
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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