Individual
JOHN MICHAEL KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
625 9TH AVENUE SUITE 220, LONGVIEW, WA 98632
(360) 578-1188
Mailing address
625 9TH AVE STE 220, LONGVIEW, WA 98632-2465
(360) 578-1188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60100317
WA
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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