MEDICARE: CHRISTINE E BOWDEN OT

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
1	225X00000X	Occupational Therapist	113737	TX

General Provider Information

NPI Number	:	1639535867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE E BOWDEN OT

Provider Business Mailing Address
First Line	:	23225 KINGSLAND BLVD
Second Line	:	STE 600
City	:	KATY
State	:	TX
Zip	:	77494-2868
Country	:	US
Telephone Number	:	281-395-9090
Fax Number	:	281-395-9091

Provider Business Practice Location Address
First Line	:	23225 KINGSLAND BLVD
Second Line	:	STE 600
City	:	KATY
State	:	TX
Zip	:	77494-2868
Country	:	US
Telephone Number	:	281-395-9090
Fax Number	:	281-395-9091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	01/04/2016

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