Individual
MADISON NOWATNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5699 W 20TH ST, GREELEY, CO 80634-3165
(973) 534-4381
Mailing address
910 E 3RD ST, EATON, CO 80615-9081
(973) 534-4381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
524739
CO
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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