Individual
COLLEEN BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 11TH ST, REDLANDS, CA 92374-3566
(909) 792-0543
Mailing address
112 11TH ST, REDLANDS, CA 92374-3566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14632
CA
225XP0200X
Pediatric Occupational Therapist
14632
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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