Individual
MRS. DORESSA MAE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
855 SAINT CLAIR RD, CENTRAL CTY, KY 42330-6012
(270) 977-1552
Mailing address
903 CIRENCESTER AVE, MIDDLESBORO, KY 40965-2144
(270) 977-9087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4792
KY
Other
Enumeration date
11/26/2012
Last updated
09/21/2023
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