Michael Cowan, PTA

NPI #1912468315 in Wasilla, Alaska

Provider Information

NPI Number: 1912468315
Entity Type: Individual
Name: Michael Cowan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 984 N MERIDIAN PL
City: Wasilla
State: Alaska
ZIP Code: 99654-7215
Phone: (907) 631-4029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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