Individual
JORDAN BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5343 COUNTY ROAD 19, KITTS HILL, OH 45645-8871
(740) 646-0211
Mailing address
5343 COUNTY ROAD 19, KITTS HILL, OH 45645-8871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010051
OH
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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