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1124008404
PATRICK KELLER
CENTEREACH, NY
NPI
1124008404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 006346-1)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
Mr. PATRICK KELLER PTA
141 MARK TREE RD
CENTEREACH, NY 11720-2221
Phone number: 631-467-4235
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Mailing Address
Mr. PATRICK KELLER PTA
236 FROWEIN RD
CENTER MORICHES, NY 11934-2006
Phone number: 631-467-4235
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