Individual
MRS. PATRICIA ANN NOWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1355 W ROGERS BLVD, SUITE 10, SKIATOOK, OK 74070-4204
(918) 396-7125
(918) 396-7186
Mailing address
2416 HIGHWAY 45 N, SUITE 10, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040-0001011
VT
225100000X
Physical Therapist
Primary
4805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018958
—
VT
Enumeration date
08/05/2006
Last updated
02/16/2016
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