Doctor Name: | MRS. JESSICA MARIE KELTNER |
NPI Number: | 1326261090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, OCS |
License Number: | PT 20892 |
Business Practice Address: | 100 W Gore St Suite 301 Orlando, FL - 328061044 |
Business Phone Number: | 4074818861 |
Business Fax Number: | 4074818862 |
Mailing Address: | 9224 Amity Ct, ORLANDO |
State: | FL |
Postal Code: | 328171365 |
Phone Number: | 4076780589 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 20892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |