Keller, Denise A

Keller, Denise A is an sole proprietor health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Keller, Denise A can be contacted via phone (262) 687-2640.

Contact Information

Primary practice address
1320 Wisconsin Ave Racine WI 53403-1978
Phone: (262) 687-2640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1495-027 Wisconsin

Profile Details

NPI number 1023284239
LBN Legal business name Keller, Denise A
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023284239 NPPES
Wisconsin MEDICAID 41037900

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