Individual
THEA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 CHELSEA LN, RAINBOW CITY, AL 35906-3744
(256) 442-1845
Mailing address
110 CHELSEA LN, RAINBOW CITY, AL 35906-3744
(256) 442-1845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2475
AL
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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