| Doctor Name: | ANNE L MUMMERT |
| NPI Number: | 1174616791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 31001067A |
| Business Practice Address: | 917 Sagamore Pkwy W West Lafayette, IN - 479061443 |
| Business Phone Number: | 7654632200 |
| Business Fax Number: | 7654633625 |
| Mailing Address: | Po Box 4699, LAFAYETTE |
| State: | IN |
| Postal Code: | 479034699 |
| Phone Number: | 7654492732 |
| Fax Number: | 7654491196 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 31001067A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |