Provider Demographics
NPI:1902643927
Name:COWSERT, ANNA ELIZABETH (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ELIZABETH
Last Name:COWSERT
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-1939
Mailing Address - Country:US
Mailing Address - Phone:217-552-0500
Mailing Address - Fax:
Practice Address - Street 1:275 N CITY STATION DR
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-4721
Practice Address - Country:US
Practice Address - Phone:608-834-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8656-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist