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Individual

JOHN C MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
2490 WILLAMETTE ST STE 5, EUGENE, OR 97405-3165
(541) 844-1728
(541) 844-1759
Mailing address
1200 CORPORATE DR STE 300, BIRMINGHAM, AL 35242-2944
(423) 682-8840
(423) 602-2028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62513
OR
225100000X
Physical Therapist
PT351
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263970099
ME
Enumeration date
01/29/2007
Last updated
05/31/2019
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