Individual
RAE P COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
525 S CHANDLER VILLAGE DR, CHANDLER, AZ 85226-5069
(480) 750-0323
(480) 786-5832
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00648800
NJ
225X00000X
Occupational Therapist
Primary
OTH-007653
AZ
Other
Enumeration date
04/24/2014
Last updated
09/21/2022
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