Individual
KRISTEN LYNN NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 ROTARY DR, WEST HAZLETON, PA 18202-1182
(570) 459-6333
Mailing address
2 MURRAY MEADOWS LN, RINGTOWN, PA 17967-9503
(570) 590-4153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08 0870519
PA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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