Individual
MS. AMY MARTIN MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1054 DELLA DR, LEXINGTON, KY 40504-2219
(859) 536-5112
Mailing address
1054 DELLA DR, LEXINGTON, KY 40504-2219
(859) 536-5112
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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