Individual
ELIZABETH A BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040
(315) 422-1689
(931) 542-2206
Mailing address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(315) 422-1689
(931) 542-2206
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0003798
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5261
STATE LICENSE
TN
Enumeration date
09/30/2013
Last updated
08/28/2018
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