Individual
RANDI MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18889 CROGHAN PIKE, ORBISONIA, PA 17243
(814) 447-3037
Mailing address
300 N HESS RD, HUSTONTOWN, PA 17229-9145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006715
PA
Other
Enumeration date
10/18/2010
Last updated
10/25/2010
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