Deanne Gowey, | |
115 Bridge St, San Gabriel, CA 91775-2719 | |
(626) 289-4439 | |
Not Available |
Full Name | Deanne Gowey |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 115 Bridge St, San Gabriel, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316335797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 13759 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Deanne Gowey, 115 Bridge St, San Gabriel, CA 91775-2719 Ph: () - | Deanne Gowey, 115 Bridge St, San Gabriel, CA 91775-2719 Ph: (626) 289-4439 |
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