Individual
LAURA BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Mailing address
1710A LOMBARD ST, PHILADELPHIA, PA 19146-1519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011367
PA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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