Individual
CAROLYN KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-3185
(407) 694-3603
Mailing address
2080 W EAU GALLIE BLVD STE A, MELBOURNE, FL 32935-3185
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT21672
FL
Other
Enumeration date
03/04/2021
Last updated
08/01/2024
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