Individual
KATHLEEN MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 330-6512
Mailing address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 330-6512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1789
ME
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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