SUSAN MARIE LICK

GARY, IN
NPI1730714650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31004027A)
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
SUSAN MARIE LICK OTR/L
6100 MILLER AVE
GARY, IN 46403-2469
Phone number: 219-427-0196
Mailing Address
SUSAN MARIE LICK OTR/L
13807 W 165TH AVE
LOWELL, IN 46356-9337
Phone number: 219-951-6161
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