Provider Demographics
NPI:1053328195
Name:COWAN, ADRIENNE VAN ERP (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:VAN ERP
Last Name:COWAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:V
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 W. OLLIE
Mailing Address - Street 2:SCOTT & WHITE HOSPITAL
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643
Mailing Address - Country:US
Mailing Address - Phone:325-388-8246
Mailing Address - Fax:325-388-6235
Practice Address - Street 1:105 FM 2342
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:TX
Practice Address - Zip Code:78639
Practice Address - Country:US
Practice Address - Phone:325-388-8246
Practice Address - Fax:325-388-6235
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107948225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist