Denise A Keller
Occupational Therapy Assistant
1320 Wisconsin Ave
Racine
, Wisconsin 53403-1978
Denise A Keller
Occupational Therapy Assistant
1320 Wisconsin Ave
Racine
, Wisconsin 53403-1978
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Denise A Keller
- 1320 Wisconsin Ave
- Racine, WI
- Zip : 53403-1978
- Phone :
Second Address
- Denise A Keller
- 1320 Wisconsin Ave
- Racine, WI
- Zip : 53403-1978
- Phone : (262) 687-2640
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1495-027 | WI |
National Provider Identifier
| NPI | 1023284239 |
|---|---|
| Provider Name | Denise A Keller |
| First Address | Racine, WI 53403-1978 |
| Second Address | Racine, WI 53403-1978 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2008 |
| Last Update Date | 07/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 41037900 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.