Individual
ALFRED THEODORE JACK NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6801 PARK TER STE 200, LOS ANGELES, CA 90045-1546
(310) 665-7100
Mailing address
6801 PARK TER STE 200, LOS ANGELES, CA 90045-1546
(310) 665-7100
(310) 665-7101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307422
CA
Other
Enumeration date
12/05/2024
Last updated
12/27/2024
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