NPI 1013116995

Gwendolyn M Matusz, COTA

Practitioner Occupational Therapy Assistant Portage, IN

Practice location

Address: 6040 Lute Rd, Portage, IN 46368-5008
Phone: (219) 763-6858
Fax: (219) 763-4858
Mailing address: 2003 Claremont Dr, Long Beach, IN 46360-1404

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32000822A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1013116995
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2007
Record last updated: 12 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.