Mary Alice Keith, OTR/L

NPI #1124378799 in Chatham, Illinois

Provider Information

NPI Number: 1124378799
Entity Type: Individual
Name: Mary Alice Keith, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 805 E. SPRUCE
City: Chatham
State: Illinois
ZIP Code: 62692
Phone: (217) 483-4643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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