Individual
HANNAH TAI BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
596 SE NOME DR, PORT SAINT LUCIE, FL 34984-8944
(772) 301-4458
Mailing address
596 SE NOME DR, PORT SAINT LUCIE, FL 34984-8944
(772) 301-4458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16555
FL
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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