Individual
KIM BOWDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S PINE ISLAND RD STE 200, PLANTATION, FL 33324-3179
(954) 474-2525
Mailing address
1662 NW 97TH AVE, CORAL SPRINGS, FL 33071-5915
(954) 757-5858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4509
LICENSE #
FL
Enumeration date
08/20/2006
Last updated
07/08/2007
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