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
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
Provider Enumeration Date 2006-08-30
Last Updated Date 2017-10-19

Provider Mailing Address Detail

Address 10222 74th St
City Kenosha
State Wisconsin (WI)
Post Code 531426810
Phone Number 2629255020
Fax Number 2629255021

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
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 --

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FAQs about Nicole M Iwanowski

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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