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Individual

MRS. DEBRA ANN NOWICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
(315) 437-4698
Mailing address
4624 NATURES CIR, SYRACUSE, NY 13215-9323
(315) 218-6785

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007839-1
NY

Other

Enumeration date
11/29/2008
Last updated
11/29/2008
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