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Mariel Novacek

Physical Therapist in Buffalo, MN. Individual provider (NPI-1).

NPI number1124471875
StatusActive
Last updated in NPPESSep 4, 2020

Details

NPI
1124471875
Entity type
Individual (NPI-1)
Name
Mariel Novacek
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2016
Certification date
Sep 4, 2020
Last updated
Sep 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9538MNYes
225100000X Physical Therapist13595WI

Practice location

120 1st St S
Buffalo, MN 55313-1402

Phone 612-756-9757

Mailing address

1606 Pulaski Rd
Buffalo, MN 55313-2228

Phone 612-702-1542

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