Individual
NICOLE MICHELLE BOWSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2040 A1A HWY, SUITE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Mailing address
6903 IDLEWYLDE CIR, MELBOURNE, FL 32904-2237
(321) 728-7199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15858
FL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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