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1538690060
SUSAN GICZEWSKI
CROWN POINT, IN
NPI
1538690060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002765A)
Enumeration Date
2017-03-26
Last Update Date
2017-03-26
Business Address
-- SUSAN GICZEWSKI COTA
119 N INDIANA AVE
CROWN POINT, IN 46307-4112
Phone number: 219-663-2532
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Mailing Address
-- SUSAN GICZEWSKI COTA
209 CAMELOT EST
PORTAGE, IN 46368-5203
Phone number: 219-940-3507
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