Individual
JULIE W BOWLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
431 CHURCH ST, SELMA, AL 36701-4565
(334) 872-7001
(334) 872-7033
Mailing address
431 CHURCH ST, SELMA, AL 36701-4565
(334) 872-7001
(334) 872-7033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1534
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-40789
BCBS PROVIDER NUMBER
AL
Enumeration date
10/03/2007
Last updated
02/24/2011
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