Individual
CHERYL LYNN BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17024 SE 104TH ST, NEWALLA, OK 74857-8104
(405) 760-1751
(405) 310-6894
Mailing address
17024 SE 104TH ST, NEWALLA, OK 74857-8104
(405) 760-1751
(405) 310-6894
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA1321
OK
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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