Individual
GINA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 W MARKET ST, SUITE B, GREENSBORO, NC 27403-4443
(336) 294-3338
Mailing address
3511 W MARKET ST STE B, GREENSBORO, NC 27403-4442
(336) 294-3338
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300082K
—
NC
Enumeration date
03/27/2007
Last updated
08/03/2010
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