Individual
GERALD DAVID BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
19231 VICTORY BLVD, STE 350, RESEDA, CA 91335-6308
(818) 996-1611
(818) 996-1612
Mailing address
19231 VICTORY BLVD, STE 350, RESEDA, CA 91335-6308
(818) 996-1611
(818) 996-1612
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
09/27/2007
Last updated
05/06/2009
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