Healthcare Provider Details

I. General information

NPI: 1982312054
Provider Name (Legal Business Name): ANNE KOWALSKI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4039 S CLEVELAND MASSILLON RD
BARBERTON OH
44203-5603
US

IV. Provider business mailing address

456 WEATHERSTONE DR
WADSWORTH OH
44281-8138
US

V. Phone/Fax

Practice location:
  • Phone: 234-255-3500
  • Fax:
Mailing address:
  • Phone: 330-524-6746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501302235
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019828
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: