Individual
MS. LISA M. BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3901 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Mailing address
4549 TIMOTHY ST SE, LACEY, WA 98503-3671
(360) 280-9080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008290
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021223
LABOR AND INDUSTRIES
WA
Enumeration date
07/11/2007
Last updated
12/02/2014
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