Individual
SUSAN MARIE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
16304 MOUNT ST, LOWELL, IN 46356-1549
(219) 696-0705
Mailing address
16304 MOUNT ST, LOWELL, IN 46356-1549
(219) 696-0705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99045416A
IN
Other
Enumeration date
01/05/2011
Last updated
12/02/2011
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