Individual
MISS JACQUELINE RENEE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
460 POLARIS PKWY STE 100, WESTERVILLE, OH 43082-6090
(614) 895-3344
(614) 895-3795
Mailing address
460 POLARIS PKWY STE 100, WESTERVILLE, OH 43082-6090
(614) 895-3344
(614) 895-3795
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35099990
OH
208100000X
Physical Medicine & Rehabilitation Physician
89201
MT
Other
Enumeration date
05/02/2008
Last updated
04/29/2025
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