Individual
JILLIAN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, ATC, LAT
Contact information
Practice address
5523 N 825 E, OTTERBEIN, IN 47970-8054
(765) 438-7605
Mailing address
5523 N 825 E, OTTERBEIN, IN 47970-8054
(765) 438-7605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002344A
IN
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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