Individual
ANNIE O BOWLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1261 COMMERCE AVE STE 101, LONGVIEW, WA 98632-3090
(360) 270-4214
Mailing address
138 ALPHA DR, LONGVIEW, WA 98632-5804
(360) 501-6474
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00007320
WA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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