Organization
COWEN CLINIC FOR REHABILITATION MEDICINE, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD DUSON COWEN M.D. (PHYSICIAN/PRESIDENT OF CORPORATION)
(985) 447-9922
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 100, THIBODAUX, LA 70301-4897
(985) 447-9922
(985) 447-9006
Mailing address
604 N ACADIA RD, SUITE 100, THIBODAUX, LA 70301-4897
(985) 447-9922
(985) 447-9006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD021323
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1662879
—
LA
Enumeration date
11/03/2011
Last updated
11/03/2011
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