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Individual

MACIE JANE BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Mailing address
2022 W GILLIGAN AVE, ROGERS, AR 72758-6048

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR4166
AR

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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