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Individual

RHONDA YVONNE BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
521 MARTIN LUTHER KING JR CIR, ATHENS, TX 75751-4348

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211464
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211464
THERAPY LICENSE
TX
Enumeration date
04/24/2018
Last updated
04/24/2018
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