Individual
CHASITY E KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Mailing address
1105 SPRUCE ST., APT. LL REAR, PHILADELPHIA, PA 19107
(419) 681-2240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450432481
MEDICAID
PA
Enumeration date
10/11/2017
Last updated
10/27/2021
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