Individual
MRS. LORI WALKER BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 PARK WEST CIR, SUITE 108, MIDLOTHIAN, VA 23114-5551
(800) 969-9265
Mailing address
1659 HEADLEY RD, MAURERTOWN, VA 22644-2692
(540) 436-8532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000063
VA
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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