Individual
FRED EUGENE BOWEN JR.
Active
Individual
FRED EUGENE BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000512
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092237
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/27/2005
Last updated
04/23/2013
Update your record
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