Individual
DIANE M BOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 VIRGINIA RD, TYNGSBORO, MA 01879-2350
(978) 273-5112
Mailing address
7 VIRGINIA RD, TYNGSBORO, MA 01879-2350
(978) 273-5112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
632618
MA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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