Individual
ALISSA NOWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7241 UNIVERSITY EAST SERVICE RD, FRIDLEY, MN 55432
(763) 450-9400
Mailing address
7241 UNIVERSITY EAST SERVICE RD, FRIDLEY, MN 55432
(763) 450-9400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
06/17/2025
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