Individual
REANNA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(856) 366-5777
Mailing address
404 DURFOR ST, PHILADELPHIA, PA 19148-3930
(856) 366-5777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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