Individual
ANNETTE DIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
(812) 897-4840
Mailing address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
(812) 897-4840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001765A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31001765A
LICENSE
IN
Enumeration date
11/08/2006
Last updated
07/08/2007
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