| Nova Therapy Works, P.l.l.c. | |
|
207 2nd Ave Sw Miami OK 74354-6818 | |
| (918) 540-7458 | |
| (918) 540-7455 |
| Full Name | Nova Therapy Works, P.l.l.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 207 2nd Ave Sw, Miami, Oklahoma |
| Authorized Official Name and Position | Jack Douglas Myers (PRESIDENT) |
| Authorized Official Contact | 9185407458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Therapy Works, P.l.l.c. Po Box 931 Miami OK 74355-0931 Ph: (918) 540-7458 | Nova Therapy Works, P.l.l.c. 207 2nd Ave Sw Miami OK 74354-6818 Ph: (918) 540-7458 |
| NPI Number | 1235227588 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235227588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1025 (Oklahoma) | Primary |
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