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Individual

KELLY M COWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 970-5001
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2457
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116526
OCCUPATIONAL THERAPY
TX
01
16613
OCCUPATIONAL THERAPY
FL
01
2457
OCCUPATIONAL THERAPY
ME
Enumeration date
12/29/2014
Last updated
12/29/2014
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