Individual
MR. DAVID KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
19525 W NORTH AVE, BROOKFIELD, WI 53045-4107
(262) 785-1114
Mailing address
2345 S HOWELL AVE APT 311, MILWAUKEE, WI 53207-1646
(262) 844-6840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5324-27
WI
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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