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NPI Code Detail

MEDICARE: DINA LYNN COWOSKI OTR

MEDICARE: DINA LYNN COWOSKI OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT11438FL

General Provider Information

NPI Number : 1770588147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA LYNN COWOSKI OTR
Provider Business Mailing Address
First Line : 820 COMMED BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8321
Country : US
Telephone Number : 386-775-7488
Fax Number : 386-775-9515
Provider Business Practice Location Address
First Line : 820 COMMED BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8321
Country : US
Telephone Number : 386-775-7488
Fax Number : 386-775-9515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 11/24/2008

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Directions to “ DINA LYNN COWOSKI OTR” Practice Location

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