Individual
MICHAEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
984 N MERIDIAN PL, WASILLA, AK 99654-7215
(907) 631-4029
Mailing address
3865 N PRESTON AVE, WASILLA, AK 99654-1350
(904) 607-9551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
140245
AK
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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