Individual
HARTLEY NICOLE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3345 S HARVARD AVE, STE 101/301, TULSA, OK 74135-1800
(918) 574-2575
(918) 340-6632
Mailing address
2656 S QUEBEC AVE, TULSA, OK 74114-4830
(918) 691-8129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6205
OKLAHOMA MEDICAL BOARD PHYSICAL THERAPIST LICENSE NUMBER
OK
Enumeration date
06/14/2022
Last updated
06/14/2022
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