Provider Demographics
NPI:1780601419
Name:GOWEN, CLARE BARRETT (PT)
Entity type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:BARRETT
Last Name:GOWEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SEVERANCE ST
Mailing Address - Street 2:APT 2
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-3171
Mailing Address - Country:US
Mailing Address - Phone:603-313-8343
Mailing Address - Fax:
Practice Address - Street 1:23 CARYL LANE
Practice Address - Street 2:WEEKS AND GOWEN PT ASSOCIATES INC
Practice Address - City:CHARLESTOWN
Practice Address - State:NH
Practice Address - Zip Code:03603
Practice Address - Country:US
Practice Address - Phone:603-826-9700
Practice Address - Fax:603-826-9703
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
563021OtherUS HEALTHCARE GROUP
563330OtherUS HEALTHCARE
613627OtherTUFTS
626558OtherHARVARD PILGRIM
VTWEEK18026OtherBCBS
63042OtherCIGNA CLARE B GOWEN
NH80001596Medicaid
H003983OtherCHAMPUS
VT18028OtherBCBS
NH0805417YONH01OtherANTHEM
63040OtherCIGNA
63042OtherCIGNA CLARE B GOWEN
H003983OtherCHAMPUS