Provider Demographics
NPI:1649547647
Name:MCQUOWN, ASHLEE REBEKAH (ATC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:REBEKAH
Last Name:MCQUOWN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 SKYLINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:PA
Mailing Address - Zip Code:16644
Mailing Address - Country:US
Mailing Address - Phone:814-345-5615
Mailing Address - Fax:
Practice Address - Street 1:444 ALLPORT CUTOFF
Practice Address - Street 2:
Practice Address - City:MORRISDALE
Practice Address - State:PA
Practice Address - Zip Code:16858-9726
Practice Address - Country:US
Practice Address - Phone:814-345-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer