Individual
SUSAN MARTINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2112 W GALENA BLVD STE 8-316, AURORA, IL 60506-3255
(630) 661-7253
Mailing address
3015 BANGOR LN, AURORA, IL 60504-6846
(708) 334-7601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005849
IL
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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