Individual
MRS. TRACEY D BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
550 BOONES MILL, NEW HAVEN, KY 40051
(502) 827-4492
Mailing address
550 BOONES MILL, NEW HAVEN, KY 40051
(502) 827-4492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0838
KY
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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