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NPI Code Detail

MEDICARE: REBECCA R BOWERS OTR

MEDICARE: REBECCA R BOWERS OTR
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 Therapist107784TX

General Provider Information

NPI Number : 1548544851
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R BOWERS OTR
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number : 610-991-2034
Fax Number : 610-438-2046
Provider Business Practice Location Address
First Line : 4045 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75093-5891
Country : US
Telephone Number : 972-596-7606
Fax Number : 972-596-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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