Individual
MRS. JACQUELINE SUZANNE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
377 WESTRIDGE BLVD, GREENWOOD, IN 46142-2137
(317) 888-4948
Mailing address
2947 WELCOME WAY, GREENWOOD, IN 46143-6601
(219) 902-1637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005652A
IN
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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