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Individual

MS. BETH ANN NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
(765) 452-5491
Mailing address
3064 CROOKED STICK DR, KOKOMO, IN 46902-5076
(765) 864-1778

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000759A
IN

Other

Enumeration date
11/30/2008
Last updated
11/30/2008
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