Provider Demographics
NPI:1699947960
Name:BAUR-KEENER, COLLEEN (OT)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:
Last Name:BAUR-KEENER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 MORGAN TER
Mailing Address - Street 2:
Mailing Address - City:ROAMING SHORES
Mailing Address - State:OH
Mailing Address - Zip Code:44084-9782
Mailing Address - Country:US
Mailing Address - Phone:440-563-9244
Mailing Address - Fax:
Practice Address - Street 1:285 MORGAN TER
Practice Address - Street 2:
Practice Address - City:ROAMING SHORES
Practice Address - State:OH
Practice Address - Zip Code:44084-9782
Practice Address - Country:US
Practice Address - Phone:440-563-9244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT . 000956225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist