Individual
MACEY ANN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
800 EASTMONT AVE, EAST WENATCHEE, WA 98802-4458
(509) 884-7169
Mailing address
7780 BADGER MOUNTAIN RD, EAST WENATCHEE, WA 98802-9050
(509) 885-3708
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TL61475850
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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