Individual
MRS. REGINA CAROL COWSERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001595
IL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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