Individual
AMANDA NICOLE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BURKLE ST, OSWEGO, NY 13126-3259
(315) 324-4600
Mailing address
94 WESTWOOD LANE, MIDDLETOWN, CT 06457
(860) 301-8807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049496-01
NY
225100000X
Physical Therapist
13708
CT
Other
Enumeration date
08/23/2022
Last updated
03/19/2023
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