Petker, Amanda A

Petker, Amanda A is an sole proprietor health care provider with primary practice located at 226 S Anderson St Ste B , Elwood IN 46036-2015. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Petker, Amanda A can be contacted via phone (765) 552-8460.

Contact Information

Primary practice address
226 S Anderson St Ste B Elwood IN 46036-2015
Phone: (765) 552-8460
Fax: (765) 552-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 31004646A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 31004646A Indiana

Profile Details

NPI number 1902065139
LBN Legal business name Petker, Amanda A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Jan 26th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902065139 NPPES
Indiana Other P00702440 RR MEDICARE

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