Individual provider · Type 1 NPI

Nicole M. Iwanowski, OTR/L, CLT

Occupational Therapist · Kenosha, WI

NPI number 1295844603 Active

Practice location

10222 74th St, Suite 211
Kenosha, WI 53142-6810

Call (262) 925-5020 Map

Fax (262) 925-5021

Mailing address

600 52nd St, Suite 240
Kenosha, WI 53140-3423

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4230026 (WI)

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1295844603

Nicole M. Iwanowski, OTR/L, CLT's National Provider Identifier is 1295844603, issued on Aug 30, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 19, 2017.