Individual
NEELY R. POETTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
14163 JEM DR, AVISTON, IL 62216-3646
(618) 401-3210
(618) 228-7229
Mailing address
14163 JEM DR, AVISTON, IL 62216-3646
(618) 401-3210
(618) 228-7229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-007649
IL
Other
Enumeration date
09/09/2008
Last updated
11/04/2014
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