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Individual

KINLEY B BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
958 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9216
(252) 793-4135
Mailing address
2373 REASON RD, WILLIAMSTON, NC 27892-6810
(252) 217-6216

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13910
NC

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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