Jordan Nicole McCowen, DPT
Physical Therapist in Lake Saint Louis, MO. Individual provider (NPI-1).
NPI number1003373085
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1003373085
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jordan Nicole McCowen
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2018029942 | MO | Yes |
Other names
- Jordan Nicole Porter (Former Name)
Practice location
2 Harbor Bend Ct Ste 102Lake Saint Louis, MO 63367-1480
Phone 636-295-2070
Mailing address
2 Harbor Bend Ct Ste 102Lake Saint Louis, MO 63367-1480
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All 13 Physical Therapist providers in Lake Saint Louis · All 184 providers in Lake Saint Louis
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