Individual
ANDREW MICHAEL BOWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 S 1ST AVE, MCMEEN PHYSICAL THERAPY, PC, BROKEN BOW, NE 68822-2213
(308) 872-5111
(308) 872-5115
Mailing address
PO BOX 435, MCMEEN PHYSICAL THERAPY, PC, BROKEN BOW, NE 68822-0435
(308) 872-5111
(308) 872-5115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2355
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02050
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/12/2006
Last updated
07/08/2007
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