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Individual

MRS. ASHLEY NICHOLE BOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
314 GOFF MOUNTAIN RD, SUITE 13 MEDCARE THERAPY CENTER, CROSS LANES, WV 25313
(304) 776-5031
(304) 204-6332
Mailing address
5203 DELLWAY DRIVE, CROSS LANES, WV 25313
(304) 415-6180

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1274
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810008946
WV
Enumeration date
07/11/2007
Last updated
07/11/2007
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