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NPI Code Detail

MEDICARE: JACOB BOWLING

MEDICARE: JACOB BOWLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistVA

General Provider Information

NPI Number : 1447102868
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB BOWLING
Provider Business Mailing Address
First Line : 7225 BELL CREEK RD STE 256A
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-3503
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7225 BELL CREEK RD STE 256A
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-3503
Country : US
Telephone Number : 804-486-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ JACOB BOWLING ” Practice Location

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