Individual
BERNADETTE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1114 W 11 ST, LEARNED, KS 67550
(615) 896-6400
Mailing address
836 180TH AVE, GARFIELD, KS 67529
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400550
KS
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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