GWENDOLYN M MATUSZ

PORTAGE, IN
NPI1013116995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000822A)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
-- GWENDOLYN M MATUSZ COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- GWENDOLYN M MATUSZ COTA
2003 CLAREMONT DR
LONG BEACH, IN 46360-1404
Phone number: 219-874-3551