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SYDNIE NICOLE NOWLEN LPTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1285528844
Provider Type
Individual Provider (NPI-1)
Credentials
LPTA
Status
Active

Contact & Location

Address
5140 GALAXIE DR, JACKSON, MS, 392064335
Phone
(769) 216-3288
Fax
(601) 510-9012

Specialties & Taxonomies

Physical Therapy Assistant Primary License: MS #PTA7601

All Addresses

MAILING

PO BOX 75

MADISON, MS, 391300075

(769) 216-3288

LOCATION

5140 GALAXIE DR

JACKSON, MS, 392064335

(769) 216-3288