Individual
KELLY M COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
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
Update your record
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