Individual
JON-MARC GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8017 DOGWOOD LN, MILAN, TN 38358-6805
(731) 686-8373
Mailing address
3935 HIGHWAY 70, CEDAR GROVE, TN 38321-7437
(731) 676-3788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6257
TN
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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