Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Catherine Nowak

Individual provider Occupational Therapy Assistant · NPI 1407520422

Jacqueline Catherine Nowak is an Occupational Therapy Assistant in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

14370 Blue Skies St
Livonia, MI 48154-4931
Phone: (734) 673-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202002085 (MI)

Record details

NPI number1407520422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

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