Individual
KEESHA CALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13440 161ST ST, JAMAICA, NY 11434-3726
(347) 242-6779
Mailing address
214 BUCKTAIL DR, MIDDLETOWN, DE 19709-6130
(347) 242-6779
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
009038-1
NY
Other
Enumeration date
09/16/2008
Last updated
02/13/2025
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