Individual
MCKENNA LYNN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13300 HICKMAN RD STE 110, CLIVE, IA 50325-8616
(515) 987-8835
Mailing address
1407 41ST ST, DES MOINES, IA 50311-2519
(515) 321-3317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102120
IA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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