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NPI Code Detail

MEDICARE: JANICE LYNN BOWMAN DPT

MEDICARE:   JANICE LYNN BOWMAN  DPT
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
12251P0200XPediatric Physical TherapistPT1638CA
2225100000XPhysical TherapistPT1638CA

General Provider Information

NPI Number : 1275612392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LYNN BOWMAN DPT
Provider Business Mailing Address
First Line : 4510 MILL VALLEY RD
Second Line :
City : MOORPARK
State : CA
Zip : 93021-2235
Country : US
Telephone Number : 805-469-5673
Fax Number :
Provider Business Practice Location Address
First Line : 1901 N RICE AVE STE 170-180
Second Line :
City : OXNARD
State : CA
Zip : 93030-7912
Country : US
Telephone Number : 805-485-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 05/13/2021

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