ASHLEIGH LOUISE GOETZ

PORTAGE, IN
NPI1477720274
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001605A)
Enumeration Date2008-05-12
Last Update Date2008-05-12
Business Address
-- ASHLEIGH LOUISE GOETZ COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
-- ASHLEIGH LOUISE GOETZ COTA
310 W GREENWOOD AVE
CROWN POINT, IN 46307-4332
Phone number: 219-671-0417