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Individual

MR. JOSEPH MARK MCKOWEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1445 N LIMESTONE ST, GAFFNEY, SC 29340-4735
(864) 487-7874
(864) 487-7659
Mailing address
1445 N LIMESTONE ST, GAFFNEY, SC 29340-4735
(864) 487-7874
(864) 487-7659

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1635
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1635
PT LICENSE
SC
05
TH0347
SC
Enumeration date
03/16/2006
Last updated
07/09/2007
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