Individual
ALAN L BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10342 DYNO DR, SUITE 2, HAYWARD, WI 54843-6150
(715) 699-1371
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5868024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255316469
—
WI
05
—
40389300
—
WI
Enumeration date
12/09/2005
Last updated
09/27/2010
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