Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 3651 | CO |
NPI | 1346623741 |
---|---|
Provider Name | Julia Cowan |
First Address | Arvada, CO 80004-6154 |
Second Address | Arvada, CO 80004-6154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2015 |
Last Update Date | 02/07/2015 |