Individual
VICKY A COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1171 W CONWAY RD, HARBOR SPRINGS, MI 49740-9684
(231) 487-6163
Mailing address
1171 W CONWAY RD, HARBOR SPRINGS, MI 49740-9684
(231) 487-6163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003510
MI
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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