Individual
MR. THOMAS MICHAEL NOWAKOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
501 SOUTH MAIN ST, OLD FORGE, PA 18518
(570) 457-4099
(570) 457-7205
Mailing address
915 BATTLE ST, SCRANTON, PA 18508
(570) 342-9906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003708
PA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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