Individual
BRENT ALLEN SOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2400 SILHAVY RD, VALPARAISO, IN 46383-3275
(219) 462-1778
Mailing address
5752 ARDMORE AVE, PORTAGE, IN 46368-5407
(219) 742-5759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002360A
IN
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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