Individual
MS. MARILYN LOUISE NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6969 JUSTIN CT E, REMINGTON, VA 22734-9464
(703) 409-7037
Mailing address
6969 JUSTIN CT E, REMINGTON, VA 22734-9464
(703) 409-7037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000375
VA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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