Individual
KATHY BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
36 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Mailing address
36 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1568
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299845
—
OR
Enumeration date
01/14/2007
Last updated
04/10/2008
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