Individual
BETH NOWIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(262) 658-2186
Mailing address
2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
(576) 603-5138
(866) 284-1178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2520-19
WI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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