Organization
POETTKER PEDIATRIC THERAPY SERVICES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEELY REANNA POETTKER MOT, OTR/L (OCCUPATIONAL THEARPIST)
(618) 401-3210
Entity
Organization
Contact information
Practice address
14163 JEM DR, AVISTON, IL 62216-3646
(618) 228-7229
(618) 228-7229
Mailing address
14163 JEM DR, AVISTON, IL 62216-3646
(618) 228-7229
(618) 228-7229
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2013002846
IL
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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