Individual
MISS ROBYN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 UPTOWN AVE, BROWNSVILLE, TX 78520-7559
(956) 544-7722
(956) 544-7728
Mailing address
140 UPTOWN AVE, BROWNSVILLE, TX 78520-7559
(956) 544-7722
(956) 544-7728
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169033101
—
TX
01
—
45-4849
MEDICARE
TX
Enumeration date
08/10/2010
Last updated
08/10/2010
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