Organization
CHAD NOVASIC PT LTD
Active
Other names
Alliant Physical Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD M NOVASIC PT (PRESIDENT)
(262) 898-3930
Entity
Organization
Contact information
Practice address
1300 S GREEN BAY RD, SUITE 205, RACINE, WI 53406-4469
(262) 898-3930
(262) 898-3933
Mailing address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(262) 898-3933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40422500
—
WI
Enumeration date
08/21/2006
Last updated
07/09/2021
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