JACOB BOWEN

WABASH, IN
NPI1346659752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004452A)
Enumeration Date2014-08-11
Last Update Date2014-08-11
Business Address
Mr. JACOB BOWEN PTA
1955 VERNON ST
WABASH, IN 46992-4026
Phone number: 260-563-8438
Mailing Address
Mr. JACOB BOWEN PTA
853 COLUMBIA AVE APT WEST
FORT WAYNE, IN 46805-4305
Phone number: 260-582-1399
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