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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE M IWANOWSKI, OTR/L, CLT

Active

NICOLE M IWANOWSKI, OTR/L, CLT is a Occupational Therapist healthcare provider located in KENOSHA, Wisconsin. NPI 1295844603 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · KENOSHA, WI

Registration Details

NPI Number
1295844603
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2006 (19.917262829103 yrs)
Last Updated
Oct 19, 2017
License
4230026 (WI)

Practice Information

Address
10222 74TH ST
SUITE 211
KENOSHA, WI, 531426810
Browse WI providers · Browse ZIP 53142
Phone
2629255020
Fax
2629255021
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in KENOSHA, WI

Name Credential NPI
JAMES P MECHAM MS, OTRIL 1992730386
CHRISTIE LEZON OTRL 1316016736
JENNIFER L KEGLEY OTR 1528115839
TRACY L SPILKER OTR 1386792679
EMILY J KRON OTR 1952458283
MRS. LYNETTE SPRINGER OTRL, CLT 1811043680
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.