Healthcare Provider Details

I. General information

NPI: 1881634855
Provider Name (Legal Business Name): DAVID EDWARD NOWOTARSKI DC PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 PENN AVE
SINKING SPRING PA
19608-1181
US

IV. Provider business mailing address

3443 PENN AVE
SINKING SPRING PA
19608-1181
US

V. Phone/Fax

Practice location:
  • Phone: 610-678-8600
  • Fax: 610-678-4747
Mailing address:
  • Phone: 610-678-8600
  • Fax: 610-678-4747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003435L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT003435L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: