Individual
CANDICE MARIE LOPACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1555 S MAIN ST, CROWN POINT, IN 46307-0114
(219) 323-8700
Mailing address
6808 73RD CT, SCHERERVILLE, IN 46375-3517
(773) 405-8907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002175A
IN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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