Individual
MELISSA S NOWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 574-5963
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 574-5963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60002457
WA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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