Individual
SAMANTHA KENEISHA MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
(973) 750-0880
Mailing address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
(973) 914-3884
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01245700
NJ
Other
Enumeration date
06/13/2025
Last updated
10/23/2025
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