Provider Demographics
NPI:1952394496
Name:COWAN, KAREN F (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:F
Last Name:COWAN
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2848 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-1167
Mailing Address - Country:US
Mailing Address - Phone:815-436-1444
Mailing Address - Fax:815-436-9814
Practice Address - Street 1:2848 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-1167
Practice Address - Country:US
Practice Address - Phone:815-436-1444
Practice Address - Fax:815-436-9814
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL87050Medicare ID - Type UnspecifiedMEDICARE PROVIDER #