Individual
SUSAN C DEGROATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1404
Mailing address
19234 GRANT ST, LANSING, IL 60438-3865
(219) 703-1404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000521A
IN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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