Individual
JENNA MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Mailing address
1857 FERNWOOD DR, WEST DEPTFORD, NJ 08096-5751
(609) 790-3001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00788600
NJ
Other
Enumeration date
08/15/2017
Last updated
09/05/2019
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