Organization
FORWARD MOTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE BOWLES OTR/L (OCCUPATIONAL THERAPIST)
(502) 387-9079
Entity
Organization
Contact information
Practice address
2201 GOSHEN LN, GOSHEN, KY 40026-9514
(502) 228-4040
(502) 290-0005
Mailing address
PO BOX 302, GOSHEN, KY 40026-0302
(502) 228-4040
(502) 290-0005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5036
KY
225X00000X
Occupational Therapist
R3676
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652652
ANTHEM
KY
Enumeration date
11/05/2008
Last updated
09/17/2010
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