Individual
ANDREA ELIZABETH NOSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
690 E 113TH PL, CROWN POINT, IN 46307-7162
(219) 765-5482
Mailing address
690 E 113TH PL, CROWN POINT, IN 46307-7162
(219) 765-5482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007295A
IN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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