Individual
LAUREN ELIZABETH NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
28 GOLDEN AVE, MEDFORD, MA 02155-6104
(401) 644-8445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
07/19/2022
Last updated
07/19/2022
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