MEDICARE: BETSY BOWEN PT

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	225100000X	Physical Therapist	15456	MD

General Provider Information

NPI Number	:	1811996994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY BOWEN PT

Provider Business Mailing Address
First Line	:	1424 FLORENCE RD
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-3806
Country	:	US
Telephone Number	:	301-607-8753
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 FLORENCE RD
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-3806
Country	:	US
Telephone Number	:	301-607-8753
Fax Number	:

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	05/30/2012

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Directions to “ BETSY BOWEN PT” Practice Location

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