Jessica Renee Mccowan, PT, DPT

NPI #1861721540 in Vienna, Illinois

Provider Information

NPI Number: 1861721540
Entity Type: Individual
Name: Jessica Renee Mccowan, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Dec 9, 2009
Last Updated: Jun 17, 2011

Practice Location

Address: 811 N 1ST ST
City: Vienna
State: Illinois
ZIP Code: 62995-1544
Phone: (618) 658-8144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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