CHAD BOWCOTT

BLOOMINGTON, IL
NPI1205081825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056004599)
Enumeration Date2008-11-24
Last Update Date2008-11-24
Business Address
Mr. CHAD BOWCOTT
135 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704-3528
Phone number: 309-661-8823
Mailing Address
Mr. CHAD BOWCOTT
PO BOX 5387
BLOOMINGTON, IL 61702-5387
Phone number: 309-661-8823