Individual
MACIEJ NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1018 N GUIGNARD DR, SUMTER, SC 29150-2423
(803) 773-5567
(803) 775-4293
Mailing address
1018 N GUIGNARD DR, SUMTER, SC 29150-2423
(803) 773-5567
(803) 775-4293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2725
SC
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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