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Individual
MRS. WENDY LEIGH BOUWENS
Active
Individual
MRS. WENDY LEIGH BOUWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008668
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201008668
—
MI
Enumeration date
04/11/2018
Last updated
04/11/2018
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