Individual
DIANE IRENE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 CHATHAM ST, WORCESTER, MA 01609-2027
(508) 754-3276
Mailing address
12 KING STREET EXT, LEICESTER, MA 01524-1706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
881
MA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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