Individual provider · Type 1 NPI

Gwendolyn M. Matusz, COTA

Occupational Therapy Assistant · Portage, IN

NPI number 1013116995 Active

Practice location

6040 Lute Rd
Portage, IN 46368-5008

Call (219) 763-6858 Map

Fax (219) 763-4858

Mailing address

2003 Claremont Dr
Long Beach, IN 46360-1404

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32000822A (IN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1013116995

Gwendolyn M. Matusz, COTA's National Provider Identifier is 1013116995, issued on Jul 12, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Portage, IN. The record was last updated on Jul 12, 2007.