MEDICARE: ANN COWDREY

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
1	225X00000X	Occupational Therapist	05532	MD
2	225X00000X	Occupational Therapist	0119005054	VA
3	225X00000X	Occupational Therapist	0C011022	PA
4	225X00000X	Occupational Therapist	OT010000267	DC
5	225X00000X	Occupational Therapist	112869	TX

General Provider Information

NPI Number	:	1811129216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN COWDREY

Provider Business Mailing Address
First Line	:	1728 GOLDENROD LN
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-9756
Country	:	US
Telephone Number	:	540-798-5840
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 GOLDENROD LN
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-9756
Country	:	US
Telephone Number	:	540-798-5840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	10/23/2013

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Directions to “ ANN COWDREY ” Practice Location

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