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Individual

MRS. LYNNETTE MARKOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1540 S. LOGAN ST, MISHAWAKA, IN 46544
(574) 257-8629
Mailing address
62544 OAK RD, SOUTH BEND, IN 46614-9354
(574) 850-8061

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31000512A
IN

Other

Enumeration date
09/08/2020
Last updated
09/08/2020
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