Individual provider · Type 1 NPI

John Mark Keller, PTA

Physical Therapy Assistant · Mount Laurel, NJ

NPI number 1659145209 Active

Practice location

16 Overhill Rd
Mount Laurel, NJ 08054-2045

Mailing address

204 Ark Rd
Mount Laurel, NJ 08054-3100

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00359700 (NJ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1659145209

John Mark Keller, PTA's National Provider Identifier is 1659145209, issued on Nov 13, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Nov 13, 2023.