Individual
MR. ANDREW THOMAS BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
90 MAIN ST, BURLINGTON, VT 05401-8419
(802) 861-6700
Mailing address
24 CHELSEA RD, ESSEX JUNCTION, VT 05452-2615
(802) 879-6049
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
VT040-0003401
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007705
—
VT
01
—
49991
BLUE CROSS/ BLUE SHIELD
VT
01
—
5273607
VERMONT MANAGED CARE
VT
01
—
6000628
MVP
VT
01
—
69511
TVHP
VT
Enumeration date
07/31/2006
Last updated
11/08/2012
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