Individual
MR. TANNER AVERY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9355 WARRICK TRL, NEWBURGH, IN 47630-0015
(812) 476-9983
Mailing address
25 W ILLINOIS ST UNIT 102, EVANSVILLE, IN 47711-1301
(618) 383-6459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008888A
IN
Other
Enumeration date
08/22/2025
Last updated
10/14/2025
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