Individual
STEVEN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
(443) 624-1969
Mailing address
23949 HOLLYWOOD RD, HOLLYWOOD, MD 20636-2117
(443) 624-1969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00692
MD
Other
Enumeration date
10/19/2015
Last updated
11/23/2015
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