Kelly M Cowan, OTR

Individual provider Active NPI Occupational Therapist · Wilton, CT

NPI 1972991933 · NPPES record last updated Dec 29, 2014

Key facts

NPI
1972991933
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2457 (ME)
Practice address
64 Danbury Rd
Wilton, CT 06897-4429
Phone
(800) 970-5001
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2457MEMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2457 ME Yes

Addresses

Primary practice location

64 Danbury Rd
Wilton, CT 06897-4429

Mailing address

64 Danbury Rd
Wilton, CT 06897-4429

Other identifiers

IdentifierTypeStateIssuer
116526OtherTXOCCUPATIONAL THERAPY
2457OtherMEOCCUPATIONAL THERAPY
16613OtherFLOCCUPATIONAL THERAPY

Other providers in Wilton, CT

All providers in Wilton, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.