Individual
ANGELA BETH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 BANK ST, CHATHAM, VA 24531-1129
(434) 432-2761
Mailing address
4512 SOUTHPORT RD, GREENSBORO, NC 27410-9513
(540) 494-2004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000452
VA
224Z00000X
Occupational Therapy Assistant
9908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302077
—
NC
Enumeration date
08/10/2015
Last updated
10/16/2018
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