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Individual
KATIE E BOWSER
Active
Individual
KATIE E BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022037
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002723257
HIGHMARK BLUE CROSS BLUE SHIELD
PA
05
—
1027717910001
—
PA
01
—
12431257
CAQH
PA
01
—
246473NJT
MEDICARE PTAN
PA
01
—
P01126953
MEDICARE RAILROAD CG7782
PA
Enumeration date
08/07/2012
Last updated
08/21/2018
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