Individual
JEFFREY LEE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4131 W LOOMIS RD, GREENFIELD, WI 53221-2057
(414) 281-5151
Mailing address
4131 W LOOMIS RD, GREENFIELD, WI 53221-2057
(414) 281-5151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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