Poettker Pediatric Therapy Services, P.c

NPI 1275944175 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1275944175
Enumeration Date 05/13/2014
Last Updated 05/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name NEELY REANNA NEELY
Position OCCUPATIONAL THEARPIST
Phone (618) 228-7229
Fax (618) 228-7229
Practice Location
14163 JEM DR
AVISTON IL, 62216-3646, US
Phone (618) 228-7229
Fax (618) 228-7229
Business Location
14163 JEM DR
AVISTON IL, 62216-3646, US
Phone (618) 228-7229
Fax (618) 228-7229
Toxanomy
Taxonomy Code 225XP0200X
License State Illinois
License Number 2013002846
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According to our database, Poettker Pediatric Therapy Services, P.c NPI is 1275944175, taxonomy code is 225XP0200X and license number is 2013002846, license state is located at Illinois. Poettker Pediatric Therapy Services, P.c physically located at 14163 Jem Dr, Aviston IL, 62216-3646. NPI Number 1033115704 has the healthcare provider type.

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1275944175 NPI number is provided on an as is basis without warranty of any kind. 1275944175 is maintained by the National Plan & Provider Enumeration System. The contents of Poettker Pediatric Therapy Services, P.c are for informational purposes only.