| NPI | 1396082723 |
|---|---|
| Former Name | AMANDA NOWAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10707) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003999) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2015-05-27 |