Individual
DAKOTA GOWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
227 S MAIN ST, BEAVER DAM, KY 42320-2131
(270) 274-9221
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
(270) 274-9221
(270) 955-2003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260087
STATE LICENSE NUMBER
KY
Enumeration date
07/08/2020
Last updated
07/08/2020
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