| NPI | 1174963011 |
|---|---|
| Former Name | DEBRA BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013033842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1104599) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-03-17 |