Individual
KIRSTEN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5523 KEMNER RD, PEMBERVILLE, OH 43450-9781
(419) 308-6368
Mailing address
5523 KEMNER RD, PEMBERVILLE, OH 43450-9781
(419) 308-6368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012559
OH
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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