Provider Demographics
NPI:1871796672
Name:NOVAK, DEANA (OTR)
Entity type:Individual
Prefix:MISS
First Name:DEANA
Middle Name:
Last Name:NOVAK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 STEEPLECHASE GREEN
Mailing Address - Street 2:
Mailing Address - City:RATOATH
Mailing Address - State:COUNTY MEATH
Mailing Address - Zip Code:COUNTY MEATH
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 N HANCOCK AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2753
Practice Address - Country:US
Practice Address - Phone:719-632-6551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist