Individual
MRS. JORDAN NICOLE MCCOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2 HARBOR BEND CT STE 102, LAKE SAINT LOUIS, MO 63367-1480
(636) 295-2070
Mailing address
2 HARBOR BEND CT STE 102, LAKE SAINT LOUIS, MO 63367-1480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018029942
MO
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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