Individual provider · Type 1 NPI

Jacqueline Diane Nowak, COTA

Specialist · Buffalo, NY

NPI number 1700063138 Active

Practice location

3767 Delaware Ave
Buffalo, NY 14217

Call (716) 603-6930 Map

Mailing address

34 Granger Place
Buffalo, NY 14222-3723

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X002277-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1700063138

Jacqueline Diane Nowak, COTA's National Provider Identifier is 1700063138, issued on Jan 28, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buffalo, NY. The record was last updated on Oct 7, 2015.