Individual
DONNA NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 COLDICE CT, SUMTER, SC 29150-5338
(813) 728-2686
Mailing address
3220 COLDICE CT, SUMTER, SC 29150-5338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3975
SC
225X00000X
Occupational Therapist
OT10278
FL
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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