Individual
MS. TAMBTHA BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 SOUTHGATE ST, RICHMOND, VA 23234-3128
(804) 519-6199
Mailing address
2703 SOUTHGATE ST, RICHMOND, VA 23234-3128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000463
VA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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