Healthcare Provider Details

I. General information

NPI: 1003854134
Provider Name (Legal Business Name): APRIL MCGOVERN KOTWICKI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL GRACE MCGOVERN D.C.

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 E BRIDGE ST
MORRISVILLE PA
19067-7133
US

IV. Provider business mailing address

1635 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1003
US

V. Phone/Fax

Practice location:
  • Phone: 267-994-7030
  • Fax:
Mailing address:
  • Phone: 267-994-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009536
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: