Individual
MRS. ALYS A BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
650 N SHORELINE DR, SUITE 101, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366
Mailing address
650 N SHORELINE DR, SUITE 101, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1880
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201133162
—
AK
Enumeration date
02/28/2011
Last updated
02/28/2011
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