Individual
JOHN C MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
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
Update your record
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