Most Relevant Information
Provider Data
| NPI Number: | 1003574609 |
| Provider Name: | DEANNA KOELLER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2021 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
700 LIBERTY LN
WEST CARROLLTON
OH
454492135
Practice Location Phone/Fax
| Phone: | 9372472400 |
| Fax: |
Provider Mailing Location
445 E DUBLIN GRANVILLE RD
WORTHINGTON
OH
430853192
Provider Mailing Phone/Fax
| Phone: | 6148443800 |
| Fax: |