Individual
DAVA M ANDERSON-POECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11570 E 126TH ST, FISHERS, IN 46037-9592
(317) 579-0166
Mailing address
4381 WEATHER STONE XING, ZIONSVILLE, IN 46077-8576
(832) 715-1387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157569801
—
TX
Enumeration date
09/20/2006
Last updated
05/20/2024
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