Individual
LEESA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 JEFFERSON PKWY, HARRISONVILLE, MO 64701
(816) 380-4731
Mailing address
13831 BOTTS RD, GRANDVIEW, MO 64030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-02417
KS
225X00000X
Occupational Therapist
Primary
2007010438
MO
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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