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Individual
MR. JACOB BOWEN
Active
Individual
MR. JACOB BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004452A
IN
225X00000X
Occupational Therapist
Primary
126215
TX
Other
Enumeration date
08/11/2014
Last updated
05/22/2026
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