Individual
JEROD BRADFORD BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 S MCCLINTOCK DR STE 100, CHANDLER, AZ 85226-4816
(602) 481-7369
Mailing address
100 S MCCLINTOCK DR STE 100, CHANDLER, AZ 85226-4816
(801) 633-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6379
AZ
Other
Enumeration date
07/24/2006
Last updated
10/03/2019
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