National Provider Identifier
Jill S Nowak, OT
Jill S Nowak, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 331-1700.
Profile Overview
- NPI
- 1467586958
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
Practice Location
- 703 E Maple Ave
- Newark, NY 14513-1845
Phone: (315) 331-1700
Mailing Address
- 249 Grace Ave
- Newark, NY 14513-2163
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1467586958
- Entity Type
- Individual
- Last Name
- Nowak
- First Name
- Jill
- Middle Name
- S
- Credential
- OT
- Mailing Street Address
- 249 Grace Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-2163
- Mailing Country
- US
- Practice Street Address
- 703 E Maple Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1845
- Practice Country
- US
- Practice Phone
- (315) 331-1700
- Practice Fax
- (315) 331-3946
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)