KATHLEEN JOAN KELLER

SURPRISE, AZ
NPI1134470289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5216)
Enumeration Date2012-09-28
Last Update Date2012-09-28
Business Address
-- KATHLEEN JOAN KELLER COTA/L
15352 W HEARN RD
SURPRISE, AZ 85379-7067
Phone number: 623-332-7196
Mailing Address
-- KATHLEEN JOAN KELLER COTA/L
15352 W HEARN RD
SURPRISE, AZ 85379-7067
Phone number: 623-332-7196