Individual
JOHNATHON BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTRL/L
Contact information
Practice address
5915 W MEMORIAL RD STE 130, OKLAHOMA CITY, OK 73142-2022
(405) 773-6601
Mailing address
5915 W MEMORIAL RD STE 130, OKLAHOMA CITY, OK 73142-2022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6134
OK
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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