Organization
JENNIFER BOWEN OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOWEN (OTR/L)
(858) 761-3429
Entity
Organization
Contact information
Practice address
18 PERLEY AVE, LEBANON, NH 03766-1817
(858) 761-3429
Mailing address
18 PERLEY AVE, LEBANON, NH 03766-1817
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
072.0085243
VT
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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