Individual
MS. SHANDOLYN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2121
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007253
MI
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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