Theodore Cowling, ATC
NPI #1750756516 in South Orange, New Jersey
Provider Information
- NPI Number
- 1750756516
- Entity Type
- Individual
- Name
- Theodore Cowling, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 4, 2015
- Last Updated
- Dec 4, 2015
Practice Location
- Address
- 400 S ORANGE AVE
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-2646
- Phone
- (973) 275-2510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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