Individual
VIRGINIA 'GIGI' LEIGH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/LL
Contact information
Practice address
539 BENTON ST, SENECA, SC 29672-6883
(864) 973-9623
(864) 973-9624
Mailing address
539 BENTON ST, SENECA, SC 29672-6883
(864) 973-9623
(864) 973-9624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2450
SC STATE OCCUPATIONAL THERAPY LICENCE
SC
Enumeration date
08/12/2009
Last updated
08/12/2009
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