Individual
MS. SUZANNE F MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
288 N HILL RD, SUTTON, WV 26601-1225
(304) 765-5202
Mailing address
288 N HILL RD, SUTTON, WV 26601-1225
(304) 765-5202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158990000
—
WV
Enumeration date
03/05/2008
Last updated
03/05/2008
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