Individual
MS. MARVA ELAINE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1259 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1742
(718) 337-0306
Mailing address
1259 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1742
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006277
NY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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