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NPI Code Detail

MEDICARE: LAURA NOVAK PT, DPT

MEDICARE:   LAURA  NOVAK  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5746OK

General Provider Information

NPI Number : 1992354278
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA NOVAK PT, DPT
Provider Business Mailing Address
First Line : 1713 ANDOVER CT
Second Line :
City : THE VILLAGE
State : OK
Zip : 73120-1101
Country : US
Telephone Number : 706-248-7270
Fax Number :
Provider Business Practice Location Address
First Line : 5110 S YALE AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74135-7438
Country : US
Telephone Number : 918-492-2386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 06/04/2024

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Directions to “ LAURA NOVAK PT, DPT” Practice Location

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