Individual
MRS. BETH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1205 NORTH AVE, BURLINGTON, VT 05408
(802) 383-0400
(802) 383-0420
Mailing address
1205 NORTH AVE, BURLINGTON, VT 05401-2751
(802) 383-0400
(802) 383-0420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003402
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2668
—
VT
01
—
58063
BLUE CROSS/BLUE SHIELD
VT
Enumeration date
07/13/2006
Last updated
07/08/2007
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