MEDICARE: CAITLIN HANNAH BOWER

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	309307	LA

General Provider Information

NPI Number	:	1952670598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN HANNAH BOWER

Provider Business Mailing Address
First Line	:	1310 POLAND AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-4843
Country	:	US
Telephone Number	:	504-676-6076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 POLAND AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-4843
Country	:	US
Telephone Number	:	504-676-6076
Fax Number	:

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

Provider Enumeration Date	:	12/28/2011
Last Update Date	:	10/28/2021

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