Individual
CHRISTOPHER COWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
1815 MEADOWVIEW DR, RENO, TX 75462-6753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2069880
PTA LICENSE
TX
Enumeration date
08/23/2018
Last updated
08/23/2018
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