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Individual

MELISSA ROSS BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., M.DIV.

Contact information

Practice address
5 REMINGTON CV, LITTLE ROCK, AR 72204-8274
(501) 850-8788
Mailing address
424 S LIBERTY ST, HARRISON, AR 72601-5724
(870) 743-6881

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1325
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134141721
AR
Enumeration date
04/23/2007
Last updated
12/03/2019
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