Individual
MRS. DORI LYNN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 762-2176
Mailing address
12 MURRAY ST, BINGHAMTON, NY 13905-4503
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
015888-1
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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