Individual
LAUREN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 NE LOOP 410, #612, SAN ANTONIO, TX 78216-5829
(210) 494-2343
Mailing address
16303 CHELSEA PL, 832, SELMA, TX 78154-1881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2059593
TX
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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