| NPI | 1689763674 |
|---|---|
| Former Name | TRACI D BOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT1518) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-06-13 |