Individual
MISS NICOLE NOWAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
Mailing address
5 PICH CT, EAST BRUNSWICK, NJ 08816-2513
(732) 599-2256
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00392700
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00392700
NJ
Other
Enumeration date
04/23/2007
Last updated
10/10/2011
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