Individual
FRED EUGENE BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2840 OAK HAVEN PL, COOKEVILLE, TN 38506-6172
(931) 510-6326
Mailing address
2840 OAK HAVEN PL, COOKEVILLE, TN 38506-6172
(931) 510-6326
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
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