Individual
BREVAN ALAN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1699 RED WOLF BLVD, JONESBORO, AR 72401-5442
(870) 336-0021
Mailing address
5056 ABERDEEN RD, JONESBORO, AR 72405-8184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2027
AR
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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