Individual provider · Type 1 NPI

Jordan Lynn Nowacki, OTR/L

Occupational Therapist · Coaldale, PA

NPI number 1922639228 Active

Practice location

360 W Ruddle St
Coaldale, PA 18218-1027

Mailing address

11 Blossom Ln
New Ringgold, PA 17960-9087

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1922639228

Jordan Lynn Nowacki, OTR/L's National Provider Identifier is 1922639228, issued on Jan 27, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Coaldale, PA. The record was last updated on Jan 27, 2020.