Individual
SAMANTHA JO NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
825 E 8TH ST., SUITE 204, WINNER, SD 57580-2633
(605) 842-7188
(605) 842-7189
Mailing address
PO BOX 435, WINNER, SD 57580-0435
(605) 842-7188
(605) 842-7189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1844
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033599543
—
SD
Enumeration date
06/01/2015
Last updated
04/07/2016
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