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Individual

MR. KEITH SCREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
3401 SOLDIERS HOME RD, WEST LAFAYETTE, IN 47906-1222
(765) 464-7546
Mailing address
3401 SOLDIERS HOME RD, WEST LAFAYETTE, IN 47906-1222
(765) 464-7546

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001907A
IN

Other

Enumeration date
12/15/2016
Last updated
12/15/2016
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