Individual
DARIA LYNN KEITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485B 68TH ST, NORTH BERGEN, NJ 07047-3604
(646) 425-5292
Mailing address
1485B 68TH ST, NORTH BERGEN, NJ 07047-3604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014979
NY
225X00000X
Occupational Therapist
46TR000476600
NJ
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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