Individual
LINDA M BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 178TH AVE E, LAKE TAPPS, WA 98391-6411
(253) 862-6600
Mailing address
3409 204TH AVENUE CT E, LAKE TAPPS, WA 98391-9031
(253) 862-6600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001037
WA
Other
Enumeration date
10/12/2012
Last updated
11/19/2012
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