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Individual
ANNE L MUMMERT
Active
Individual
ANNE L MUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001067A
IN
225XH1200X
Hand Occupational Therapist
31001067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000758022
ANTHEM PIN - IU HEALTH ARNETT
IN
05
—
200036740
—
IN
Enumeration date
10/02/2006
Last updated
01/07/2013
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