Individual
MEGAN MARIE NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6335 MAURER RD, SHAWNEE, KS 66217-8345
(913) 631-3883
Mailing address
6335 MAURER RD, SHAWNEE, KS 66217-8345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1801735
KS
224Z00000X
Occupational Therapy Assistant
2021003546
MO
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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