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Organization

COMMUNITY VISION THERAPY ASSOCIATES

Active
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Organization

COMMUNITY VISION THERAPY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL M BOWERSOX OD (OWNER)
(502) 647-3937
Entity
Organization

Contact information

Practice address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
Mailing address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1301DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77013019
KY
Enumeration date
01/03/2011
Last updated
01/03/2011
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