Individual
MRS. CELIA J BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2715 PATIO ST, LONGVIEW, TX 75605-2137
(903) 759-1509
(903) 295-0099
Mailing address
2715 PATIO ST, LONGVIEW, TX 75605-2137
(903) 759-1509
(903) 295-0099
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1132330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4394
BC/BS PROVIDER NUMBER
TX
Enumeration date
08/17/2006
Last updated
07/19/2010
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