Individual
LISA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20400 SARATOGA LOS GATOS RD, SARATOGA, CA 95070-5927
(408) 741-2983
Mailing address
1803 LA TERRACE CIR, SAN JOSE, CA 95123-5341
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2615
CA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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