| Ms Jordan Lynn Nowacki, OTR/L | |
|
360 W Ruddle St, Coaldale, PA 18218-1027 | |
| (570) 645-8157 | |
| Not Available |
| Full Name | Ms Jordan Lynn Nowacki |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 360 W Ruddle St, Coaldale, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922639228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jordan Lynn Nowacki, OTR/L 11 Blossom Ln, New Ringgold, PA 17960-9087 Ph: (570) 582-9818 | Ms Jordan Lynn Nowacki, OTR/L 360 W Ruddle St, Coaldale, PA 18218-1027 Ph: (570) 645-8157 |
Diana Gomez, OTR/L; RT, (R), (CT) Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 W High St, Coaldale, PA 18218 Phone: 570-778-4890 | |
Ethan Eichhorst, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-643-3706 |