Provider Demographics
NPI:1437281060
Name:KELLER, BELEN F (OTR)
Entity Type:Individual
Prefix:MRS
First Name:BELEN
Middle Name:F
Last Name:KELLER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 CAMELLIA CT
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3412
Mailing Address - Country:US
Mailing Address - Phone:956-624-1165
Mailing Address - Fax:956-289-8441
Practice Address - Street 1:1313 S CLOSNER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5665
Practice Address - Country:US
Practice Address - Phone:956-289-8441
Practice Address - Fax:956-289-8441
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105552225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist