Individual
EMILY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
615 DELZAN PL, LEXINGTON, KY 40503-3503
(859) 219-2233
(859) 219-3322
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008350
LICENSE
KY
Enumeration date
08/17/2021
Last updated
06/05/2024
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