Organization
KRISTIN BOWNE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L BOWNE PT, MS, DPT (OWNER)
(831) 600-7381
Entity
Organization
Contact information
Practice address
5274 SCOTTS VALLEY DR, SUITE 105, SCOTTS VALLEY, CA 95066-3538
(831) 600-7381
(831) 460-2730
Mailing address
5274 SCOTTS VALLEY DR, SUITE 105, SCOTTS VALLEY, CA 95066-3538
(831) 600-7381
(831) 460-2730
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DY988Z
MEDICARE PTAN
CA
Enumeration date
02/06/2015
Last updated
02/06/2015
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