Individual
DOUGLAS BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
(936) 645-5179
Mailing address
3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
(936) 645-5179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089465
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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