Provider Demographics
NPI:1558546036
Name:POHL, ANNETTE M (LPT)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:POHL
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:PINE RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:56474-0029
Mailing Address - Country:US
Mailing Address - Phone:218-587-5258
Mailing Address - Fax:218-587-5765
Practice Address - Street 1:518 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:PINE RIVER
Practice Address - State:MN
Practice Address - Zip Code:56474-0029
Practice Address - Country:US
Practice Address - Phone:218-587-5258
Practice Address - Fax:218-587-5765
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1916225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist