MS. Jordan Lynn Nowacki, OTR/L

NPI #1922639228 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1922639228
Entity Type: Individual
Name: MS. Jordan Lynn Nowacki, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 360 W RUDDLE ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1027
Phone: (570) 645-8157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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