DAVID KELLER

BROOKFIELD, WI
NPI1760021919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5324-27)
Enumeration Date2020-01-04
Last Update Date2020-01-04
Business Address
Mr. DAVID KELLER COTA
19525 W NORTH AVE
BROOKFIELD, WI 53045-4107
Phone number: 262-785-1114
Mailing Address
Mr. DAVID KELLER COTA
2345 S HOWELL AVE APT 311
MILWAUKEE, WI 53207-1646
Phone number: 262-844-6840