Individual
LORRAINE ELIZABETH GNIADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
320 W 61ST AVE, HOBART, IN 46342-6490
(219) 947-6580
Mailing address
367 PHEASANT RUN DR, HOBART, IN 46342-2356
(252) 571-6139
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003240A
IN
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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