Doctor Name: | DARIN NOWAK |
NPI Number: | 1629008206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501009669 |
Business Practice Address: | 555 Highland Ave Milford, MI - 483811517 |
Business Phone Number: | 8109664841 |
Business Fax Number: | 8109667927 |
Mailing Address: | 2051 Hunters Creek Rd, METAMORA |
State: | MI |
Postal Code: | 484559259 |
Phone Number: | 8105710556 |
Fax Number: | 8102458576 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/27/2007 |
NPI Reactivation Date: | 09/05/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501009669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |