Individual
ALLISON ANNE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 W PARK AVE, VALDOSTA, GA 31602-2507
(229) 253-8500
(229) 253-8522
Mailing address
202 W PARK AVE, VALDOSTA, GA 31602-2507
(229) 253-8500
(229) 253-8522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005333
GA
225XP0200X
Pediatric Occupational Therapist
OT005333
GA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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