SUSAN GICZEWSKI

CROWN POINT, IN
NPI1538690060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002765A)
Enumeration Date2017-03-26
Last Update Date2017-03-26
Business Address
-- SUSAN GICZEWSKI COTA
119 N INDIANA AVE
CROWN POINT, IN 46307-4112
Phone number: 219-663-2532
Mailing Address
-- SUSAN GICZEWSKI COTA
209 CAMELOT EST
PORTAGE, IN 46368-5203
Phone number: 219-940-3507