Individual
RHIANNON ROSE NOWAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5025 RICHMOND AVE, BLASDELL, NY 14219-2665
(716) 359-9034
Mailing address
5025 RICHMOND AVE, BLASDELL, NY 14219-2665
(716) 359-9034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009944
NY
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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