Individual provider · Type 1 NPI
Cory Keller
Developmental Therapist · Austin, TX
Practice location
100 Congress Ave, Suite 2000
Austin, TX 78701-4072
Mailing address
500 Fairway Dr, Suite 102
Deerfield Beach, FL 33441-1814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1073962817
Cory Keller's National Provider Identifier is 1073962817, issued on Jun 10, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Austin, TX. The record was last updated on Jun 10, 2016.