| Poettker Pediatric Therapy Services, P.c | |
|
14163 Jem Dr, Aviston, IL 62216-3646 | |
| (618) 228-7229 | |
| (618) 228-7229 |
| Full Name | Poettker Pediatric Therapy Services, P.c |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 14163 Jem Dr, Aviston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275944175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 2013002846 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Poettker Pediatric Therapy Services, P.c 14163 Jem Dr, Aviston, IL 62216-3646 Ph: (618) 228-7229 | Poettker Pediatric Therapy Services, P.c 14163 Jem Dr, Aviston, IL 62216-3646 Ph: (618) 228-7229 |
Neely R. Poettker, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14163 Jem Dr, Aviston, IL 62216 Phone: 618-401-3210 Fax: 618-228-7229 | |
Amber Marie Watts, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 450 W 1st St, Aviston, IL 62216 Phone: 618-228-7615 |