NPI 1073962817

Cory Keller

Practitioner Developmental Therapist Austin, TX

Practice location

Address: 100 Congress Ave Suite 2000, Austin, TX 78701-4072
Phone: (888) 880-9270
Mailing address: 500 Fairway Dr Suite 102, Deerfield Beach, FL 33441-1814

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1073962817
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2016
Record last updated: 10 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.