Individual
CHAD M NOVASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 S GREENBAY RD, SUITE 205, RACINE, WI 53406-4469
(262) 321-0240
(262) 321-0242
Mailing address
PO BOX 081433, RACINE, WI 53408-1433
(262) 321-0240
(262) 321-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3549-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40146900
—
WI
Enumeration date
07/18/2006
Last updated
07/08/2007
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