NPI 1023513991

Jacob Cowan, PTA

Practitioner Physical Therapy Assistant Los Angeles, CA

Practice location

Address: 11710 Wilshire Blvd, Los Angeles, CA 90025-1503
Phone: (310) 494-1422
Mailing address: 8710 Airlane Ave, Los Angeles, CA 90045-4102

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1023513991
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2018
Record last updated: 24 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.