Provider Demographics
NPI:1811129216
Name:COWDREY, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:COWDREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 GOLDENROD LN
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-9756
Mailing Address - Country:US
Mailing Address - Phone:540-798-5840
Mailing Address - Fax:
Practice Address - Street 1:1728 GOLDENROD LN
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-9756
Practice Address - Country:US
Practice Address - Phone:540-798-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05532225X00000X
VA0119005054225X00000X
PA0C011022225X00000X
DCOT010000267225X00000X
TX112869225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist