Individual
HOLLY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 HARTMAN LN, BELLEVILLE, IL 62221-8402
(618) 239-9282
(618) 222-9304
Mailing address
3536 HARBOR WAY, BELLEVILLE, IL 62221-0446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005381
IL
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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