Individual
CORTNEY BACZKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10820 PARK PL, SAINT JOHN, IN 46373-8630
(219) 351-5200
Mailing address
10820 PARK PL, SAINT JOHN, IN 46373-8630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005871A
IN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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