Individual
PAMELA NICOLE NOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 W DESMOND ST, WINSLOW, AZ 86047-2321
(928) 289-4678
Mailing address
826 W DESMOND ST, WINSLOW, AZ 86047-2321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5311
AZ
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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