Provider Demographics
NPI:1003854134
Name:KOTWICKI, APRIL MCGOVERN (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MCGOVERN
Last Name:KOTWICKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:GRACE
Other - Last Name:MCGOVERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1635 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1003
Mailing Address - Country:US
Mailing Address - Phone:267-994-7030
Mailing Address - Fax:
Practice Address - Street 1:58 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-7133
Practice Address - Country:US
Practice Address - Phone:267-994-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor