Individual
MICHAEL ROBERT MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 ROUTE 530, KESWICK PINES LIFECARE, WHITING, NJ 08759-3145
(732) 849-0849
Mailing address
14 WINSTED DR, HOWELL, NJ 07731-2347
(732) 232-8747
(732) 370-3621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00293600
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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