Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1083806418 |
---|---|
Provider Name | Mrs. Kimberly Lynn Cowen |
First Address | Denver, CO 80222-7939 |
Second Address | Denver, CO 80222-7939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 26/03/2020 |