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Amanda Petker, OT

NPI 1902065139 · on the registry since 2008 · sole proprietor

Practice

Address
226 S Anderson St Ste B
Elwood, IN 46036
Phone
(765) 552-8460
Fax
(765) 552-8470
Clinicians at this address
6

Registry record

Primary taxonomy
225XH1200X
225XH1200X
Also registered as
225X00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana