Individual
ALONZO BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 S 37TH ST, TACOMA, WA 98418-3902
(253) 298-8700
Mailing address
1216 S 37TH ST, TACOMA, WA 98418-3902
(253) 298-8700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60802444
WA
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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