Individual
BRIEN BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11058 MADRIGAL ST, SAN DIEGO, CA 92129-9212
(858) 216-6051
Mailing address
11058 MADRIGAL ST, SAN DIEGO, CA 92129-1025
(858) 879-7255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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