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NPI Code Detail

MEDICARE: MS. STEPHANIE ANN NOWAK OTR/L

MEDICARE:  MS. STEPHANIE ANN NOWAK  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-4919OH

General Provider Information

NPI Number : 1013948405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE ANN NOWAK OTR/L
Provider Business Mailing Address
First Line : 3213 MONTCLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4121
Country : US
Telephone Number : 216-592-7237
Fax Number :
Provider Business Practice Location Address
First Line : 3213 MONTCLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4121
Country : US
Telephone Number : 216-592-7237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/22/2014

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Directions to “ MS. STEPHANIE ANN NOWAK OTR/L” Practice Location

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