Provider Demographics
NPI:1497962278
Name:WOKOUN, NANCY LYNNE (COTA)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LYNNE
Last Name:WOKOUN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EDGELEA DR
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-9209
Mailing Address - Country:US
Mailing Address - Phone:765-720-2375
Mailing Address - Fax:
Practice Address - Street 1:1000 LANE AVE
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1250
Practice Address - Country:US
Practice Address - Phone:765-362-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN32000774A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant