Individual
ANNELISE JANE KOEWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8263
(812) 476-0409
(812) 476-1016
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 476-0409
(812) 476-1016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005939A
IN
Other
Enumeration date
09/02/2015
Last updated
12/04/2018
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