Individual
MRS. JO MARY COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
(715) 552-1033
Mailing address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
(715) 552-1033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2772-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40464200
—
WI
Enumeration date
12/16/2006
Last updated
07/09/2007
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