Individual
TRACI LEE BOWLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
PO BOX 182, STEVENSON, WA 98648-0182
(360) 521-7981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0C00000339
WA
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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