Individual
KATIE L KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06586
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0603212
TAX ID
—
Enumeration date
04/04/2012
Last updated
07/14/2016
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