Jessica Renee Mccowan, PT, DPT | |
811 N 1st St, Vienna, IL 62995-1544 | |
(618) 658-8144 | |
(618) 658-9146 |
Full Name | Jessica Renee Mccowan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 811 N 1st St, Vienna, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861721540 | NPI | - | NPPES |
048930 | Other | IL | HEALTH ALLIANCE |
4423522 | Other | IL | BCBS |
431187 | Other | IL | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070017513 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica Renee Mccowan, PT, DPT Po Box 95, 811 N 1st St., Vienna, IL 62995-0095 Ph: (618) 658-8144 | Jessica Renee Mccowan, PT, DPT 811 N 1st St, Vienna, IL 62995-1544 Ph: (618) 658-8144 |
Kimberly Dawn Ecker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 N 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Michael Brantley Stricker, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 811 N 1st St, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Rachel Ann Edmonds, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 811 N 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Mr. Gregory M Blakely, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 North 1st Street, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 | |
Real Rehabilitation Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 811 N 1st St, Vienna, IL 62995 Phone: 618-658-8144 Fax: 618-658-9146 |