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Individual

DR. ROBERT DUSTIN OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
177 GORGAS AVE, FORT CAMPBELL, KY 42223-1403
(270) 640-1205
Mailing address
5419 ANCHORAGE DR, NASHVILLE, TN 37220-1908

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4214
TN

Other

Enumeration date
10/01/2012
Last updated
04/03/2019
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