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Individual

MRS. SUSANNE LYNN NOVOTNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CDA

Contact information

Practice address
2126 CRYSTAL DOWNS DR, KATY, TX 77450-8666
(832) 389-6692
Mailing address
2126 CRYSTAL DOWNS DR, KATY, TX 77450-8666
(832) 389-6692

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT112219
TX
225700000X
Massage Therapist
MT112219
TX

Other

Enumeration date
06/06/2011
Last updated
06/13/2011
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