Nicole M Iwanowski in Kenosha - Occupational Therapist
Nicole M Iwanowski - NPI 1295844603
Nicole M Iwanowski is a Occupational Therapist in Kenosha, Wisconsin. Nicole M Iwanowski practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Nicole M Iwanowski is 1295844603. The last update date is 2017-10-19.
Nicole M Iwanowski's current location address is 10222 74th St, Kenosha, Wisconsin. You can contact this provider via phone number 2629255020 and fax number 2629255021. The mailing address for Nicole M Iwanowski is 10222 74th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicole M Iwanowski |
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Address | 10222 74th St, Kenosha, Wisconsin |
Phone Number | 2629255020 |
Fax Number | 2629255021 |
Sole Proprietor | N |
Credentials | OTR/L, CLT |
NPI Number Detail
NPI Number | 1295844603 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2017-10-19 |
Provider Mailing Address Detail
Address | 10222 74th St |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 531426810 |
Phone Number | 2629255020 |
Fax Number | 2629255021 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | 4230026 |
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
11781771 | WI | CAQH | |
1295844603 | WI | -- |
Post Comment/ Review Below
What is the Nicole M Iwanowski's 1295844603?
The Nicole M Iwanowski's NPI (National Provider Identifier) Number is 1295844603. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Nicole M Iwanowski is located?
The Nicole M Iwanowski is situated at the following address: 10222 74Th St, Kenosha, WI, 531426810.
What is Nicole M Iwanowski's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicole M Iwanowski's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Nicole M Iwanowski receive the assignment of its 1295844603 from the Centers for Medicare & Medicaid Services?
The Nicole M Iwanowski was issued its 1295844603 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Nicole M Iwanowski, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicole M Iwanowski, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-19.
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