Individual
KELLEY M MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
211 HWY 25, MONTICELLO, MN 55362
(763) 295-4105
Mailing address
PO BOX 717, MONTICELLO, MN 55362-0717
(763) 295-4105
(763) 295-9116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6492
MN
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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