Provider Demographics
NPI:1447957980
Name:O'KEEFFE, CILLEAIN S (OT)
Entity type:Individual
Prefix:
First Name:CILLEAIN
Middle Name:S
Last Name:O'KEEFFE
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 1:510 PANTHER DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-5400
Mailing Address - Country:US
Mailing Address - Phone:706-367-1141
Mailing Address - Fax:706-367-1142
Practice Address - Street 1:510 PANTHER DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549-5400
Practice Address - Country:US
Practice Address - Phone:706-367-1141
Practice Address - Fax:706-367-1142
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist