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Individual

LEISA BOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2091 W VIEW CT, LAKE ORION, MI 48360-2287
(248) 421-8525
Mailing address
2091 W VIEW CT, LAKE ORION, MI 48360-2287
(248) 421-8525

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007677
MI

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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