Individual
MRS. JENA COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2442 SUWANEE POINTE DR, LAWRENCEVILLE, GA 30043-1329
(678) 634-3246
Mailing address
2442 SUWANEE POINTE DR, LAWRENCEVILLE, GA 30043-1329
(678) 634-3246
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004209
GA
Other
Enumeration date
09/26/2010
Last updated
09/26/2010
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