Individual
MR. TOD DEMPSEY KEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
158 RESORTER LN, LAKE HAVASU CITY, AZ 86406-6125
(928) 505-8589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2368
AZ
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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