Individual
JEREMY W COWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2693 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 593-2283
Mailing address
2750 HIGHVIEW AVE, ALTADENA, CA 91001-5113
(818) 795-9623
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
AT3536
CA
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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