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Individual

MR. JOSHUA AARON GOWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTAL

Contact information

Practice address
2701 CLARE AVE, BREMERTON, WA 98310-3313
(360) 377-3951
Mailing address
7618 BERKELEY PL NE, BREMERTON, WA 98311-4018
(618) 973-5872

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60262132
WA

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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