Individual
MRS. HOLLIE LOUISE GOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
RR 2 BOX 514, KUNKLETOWN, PA 18058-9658
(570) 234-6564
Mailing address
RR 2 BOX 514, KUNKLETOWN, PA 18058-9658
(570) 234-6564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006123
PA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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