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1285901884
AMY J KELLER
BLOOMINGTON, IN
NPI
1285901884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001615A)
Enumeration Date
2011-11-27
Last Update Date
2011-11-27
Business Address
Mrs. AMY J KELLER PTA
3211 E MOORES PIKE
BLOOMINGTON, IN 47401-7129
Phone number: 812-334-7604
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Mailing Address
Mrs. AMY J KELLER PTA
8279 S STONE RIDGE RD
BLOOMINGTON, IN 47401-9037
Phone number: 812-824-4808
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