Individual
MRS. DANEEL NICOLE BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11280 E DE AVE, RICHLAND, MI 49083-9455
(517) 376-0853
Mailing address
11280 E DE AVE, RICHLAND, MI 49083-9455
(517) 376-0853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010866
MI
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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