Alisa Novack, MSPT

NPI #1497065106 in Angola, New York

Provider Information

NPI Number: 1497065106
Entity Type: Individual
Name: Alisa Novack, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Oct 15, 2010
Last Updated: Oct 15, 2010

Practice Location

Address: 8691 N MAIN ST
City: Angola
State: New York
ZIP Code: 14006
Phone: (716) 450-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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